2015-09-22_REPORT - M1987064

• Permit No: M1987064
• IBM Index Class Name: REPORT
• Doc Date: 9/22/2015
• From: Elam Construction
• To: DRMS
• Annual Report Year: 2015
• Permit Index Doc Type: Annual Fee/Report
• Email Name: LJW
• Media Type: D
• Archive: No

A7.COLORADO
Division of Reclamation.
11 Mining and Safety
Department of Natuta' Resot_rces
1313 Sherman Su Room 215
Denver, CO 842173
July 1, 2015
Gayle Lyman
Elam Construction, Inc. dba Sandco, Inc.
556 Struthers Ave.
Grand Junction, CO 81501
0,962-0(
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Dillon Ranch Pit, Permit M-1987-064, Annual Fee Invoice and Report Request
TAIL-\
PLEASE READ CAREFULLY — AC'FION REQUIRED
Please attach v°our COMPLETED written Annual Re ort and Annual Report Mao to this form
Under the terms of your Reclamation Permit and Colorado Statues, you must submit an Annual Fee and Annual
Report (including a map). You must pay the Annual Fee and submit an Annual Report each year until reclamation
responsibility release is 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 inactive.
The Annual Report and Fee requirement will be considered submitted when we have received the following
components,
1. APPROPRIATE ANNUAL FEE. C'
2. COMPLETED ANNUAL REPORT e l L
3. ASSOCIATED MAP as required by ruled;
If you have requested reclamation responsibility release from the Division of Reclamation, Mining and Safety
("Division") but your permit is not released by the 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 necessary 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-1987-064
Operation Name:
Dillon Ranch Pit
Anniversary Date:
August 27, 2015
Total Fee Due:
$791.00 (Due on or before your Anniversary Date)
Return the enclosed Annual Report FORM, a MAP, and a QIECK or MONEY ORDER made payable to: Division
of Reclamation, Mining and Safety, 1313 Sherman St., Room 215, Denver, CO 80203. If your records indicate
these documents and fees have already been submitted, please notify the Division
1313 {herman St. Room 215 Denver, CO 80203 P [phone] F
John W. Hickentooper, Governor I Mike Kinj, executive Director 1 Virginia Brannon, Director
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