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'COLORADO <br />s, Division of Reclamation, <br />Mirdrig and Safety <br />Department of Na;ura Reswc*s <br />9313 Sherman St.. Room xis <br />Denver, CO SM03 <br />July 1, 2015 <br />Todd Baru <br />Elam Construction, Inc. <br />556 Sbvdms Ave <br />Grated Jtmction, CO 81501 <br />RECEIVED <br />AUG 12 2015 <br />DIVISION OF RECLAMATION, <br />MINING AND SAFETY <br />MOM <br />HiEghway 50 Borrow Area No. 2, Permit WI999-076, Annual Fee Invoice and Report Request <br />PLEASE READ CAREFULLY — ACTION REQUIRED <br />P ea # nolo r P D r 't#+en <br />Annual n stat Rewdme to this form <br />Under the terms of your Reclamation Permit and Colorado Statutes, you must submit an Atonal Fee and Annual <br />Report (mchxhng a map). You must pay the Annual Fee and submit an AAuttal Report each year until reclamation <br />responsibility release is granted. The Annual Fee is m a renewal fee. The Fee,and Report are for LAST YEAR'S <br />mining and reclamation season, and MUST be paid even if your operation was inactive. <br />The Annual Report and Fee requirement will be considered submitted when we have received the foDowing <br />components: <br />, I j m <br />r ` t :- l�,l 4;L61 . <br />tit <br />If You bane requested reclamation responsibility release from the Division of Reclamation, Mining and Safety <br />C"Division"j but your permit is not released by the anniversary date listed below, the Atttnow Fee MUST bepaid. If <br />the permit is released before the anniversary date, then by Statute, it m not necessary to pay an Annual Fee or submit <br />an Annual Report for that year. <br />Division records indicate the 5504.00 fee is due for the following: <br />permit: M-1999-076 <br />Operation Name: highway 50 Borrow Arra No. 2 <br />Anniversary Date: 2015 <br />Total Fee Due: 5504. on or before your Anniversary Date) <br />Return the enclosed Admual Report FORM. a MM, and a OEM" MONEY ORDER made payable to: Division <br />of Reclamation, Mining and Safety, 1313 5bexman St, Room 215, Deaver, CO 80703. If your records indicate <br />these documents and fens have already been submitted, please notify the Division. <br />4r <br />1313 Sherman St. Room 215 Denver, CO 80203 P (303) W-3567 F <br />John W. Wcken;ooper, Governor ; M*e King, Executive Director i Virginia Brannon, D£recux "„ * � X <br />