2015-05-18_REPORT - M1979206

• Permit No: M1979206
• IBM Index Class Name: REPORT
• Doc Date: 5/18/2015
• Doc Name: Annual Fee, Report & Map
• From: US Soil Conditioning Company
• To: DRMS
• Email Name: TC1
• Media Type: D
• Archive: No

STATE OF C OT .nR A TIC)
1313 S Nennan SL. Room 215
Denver. Colorado 80203
Phone: (303) 865,4%.7
FAX [phone]
May 1, 2015
Joseph E Lionelle
U S Soil Conditioning Company
P.O. Box 926
Salida. CO 81201
Maverick Placer, Permit M-1979-206, Anaaal Fee Invoice and Report Request
COLORADO
DIVISION OF
RECLAMATION
MINING
SAFETY
John w HUMADOW
C"$W r
vff9hiW Stamm
Director
PLEASE READ CAREFULLY — ACTION REQUIRED
Please attach your COMPLETED written Annual Report and Annual Report Mau to this form
Under the trims of your NOI or Reclamation Permit and Colorado Statutes, you must submit Annual Fees and
Annual Reports (including a map). You must pay the Annual Fee and submit an Annual Report each year until
reclamation responsibility release a granted. The Annual Fee is not a renewal fee. The Fee and Report are for
LAST YEAR'S mining and reclamation season, and MUST be'paid even if your operation was mad w -
The Annual Report and Fee requirement will be considered submitted when we have received the following
components:
I. APPROPRIATE ANNUAL FEE
2. COMPLETED ANNUAL REPORT
3. ASSOCIATED MAP as required by rale
If you have requested reclamation responsibility release from the Division of Reclamation, Mining and Safety
("Division') but your permit is not released by tbe anniversary date listed below, the Annual Fee MUST be paid. If
the permit is released before the anniversary date, then by Statute, it is not teary to Pay an Annual Fee or submit
an Annual Report for that year.
Division records indicate the $791.00 fee is due for the following:
Permit: M-1910-206
Operation Name. Maverick Placer
Anniversary Date: June 16, 2015
Total Fee Due: $791.00 (Dene on or before your Anniversary Date)
Return the enclosed Annual ReportFORM. a MAP, and a CHECK or MONEY ORDER made payable to: Division
Of Reclamation, Mining and Safiety,1313 Sherman St., Room 215, Denver, CO 80203. If your records indicate
these documents and fees have already been submitted, please notify the Division,
If you have additional comments an/or mformation that should be provided to the Division, please provide it below
or attach it to this form along with your written report and map. Annmal Report instructions are eaclosed. Kyou
have my questions, phase feel free to contact Wxhe& Ramirez [phone] ed 8114. Thank you for your
cooperation in this austtca.
IF THE ANNUAL FEE SUBMITTALS ARE NOT RECEIVED ON OR BEFORE YOUR ANNIVERSARY
DATE, THE ENFORCEMENT PROCESS WILL AUTOMATICALLY BE INIATTED. ENFORCEMENT
ACTIONS MAY RESULT IN CIVIL PENALTIES AND/OR REVOCATION OF YOUR PERMIT.
.rove a
OMM Of
Meed lend Reclanudon Denver • Grand Junction • Dtearw Acdre and Insclve Wnes