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&NwMarKawra 11.0u,d rM=K" 5 <br />1313 Sherman SL, Room 215 <br />Denw, Colffado W= <br />Phone: (3031 W&WO <br />FAX (303) 832-8106 <br />QO("/ April I, 2015 <br />Brian Bosse <br />Bgioa Hilae <br />SWW CO 91201 <br />RECEIVED <br />SEP 2 5 2015 <br />DIVI131c:,� r ; ,c,.;LAMATION, <br />0 LS <br />FEE 1.9C� <br />rpo <br />Thank You Load Clain, Permit M -290-M, Anneal Fee hwaaee need Report Retlaest <br />COLORADO <br />DIVISION OF <br />RECLAMATION <br />MINING <br />SAFETY <br />JARILSO - - <br />Qsmw <br />We for; <br />Emma*a0m= <br />PLEASE READ CAREFULLY -ACTION REQUIRED <br />Please attach your COMPLETED written Annual Report and Annual Report Dian to this form <br />Under dae terms of your NOI or Reclarnation Permit and Colorado 5tawtes, you most submit Anoun Fees and <br />Aware l Reports (including a map}. Your pay the Annual Fes and submit an Annual Repot each year nwil <br />rsdsmistion mponsRft ruse is granted. The Annual Fee is not a renewal fee. Thr Fee and Report are for <br />LAST YEAR'S mining and redamation seam, and MUST be paid even if you Operation was inactive_ <br />The Aimeal Report and Fre requirement will be srdnaitted when we (rave rttdvai the following <br />comprnenfic <br />I. APPROPRIATE ANNUAL FEE <br />I COMPLETED ANNOAL REPORT <br />3. ASSOCIATED MAP as renoired by rale <br />If you have requested recianinfion responsauldy release from the Division of Ration, Mining and Safety (tfre <br />"Divisiod) but your permit is r a released by the anniversary date listed below, the Annual Fee MUST be paid. If <br />the permit is released bef n the anniversary date, Ilm by Statute, it is not necessary to pay an Annual Fee or mLbmk <br />an Annual Repot ler dot year. <br />Diyeioa reloads indau t the 3259306 fee is doe f rtie fi m - h 1E <br />Prrroit 111-M3-041 <br />Op diol iiaoae Tbodt You Land Clair <br />Amivenwy Dart: May 30, 2015 <br />Taud Fee Due: 5259.00 (Due on or before yaw Anniversary Dae) <br />Return the enclosed Antfual Repot FOR14t_ a MAP and a fHECK or MONY ORDER anile payablelm Division <br />of Rio, Mining and Safety, 1313 Sterman SL, Roos 215, Denver, CO 80203. If your records indicate <br />dww docoments mod fees have already been submitted, please notify the Division. <br />R'y+as dart sh ould beg , iced is lie Divi, please p wide k beiaw <br />or sande itis d s foes alaft wft yw wriMea report ad amp. Aw d WApaat iRsinrtioos am enclosuL If you <br />6ieee soy gsesiioat� please %d fine io castoct 11+5cbe6e Rarirea (363) �,+6-3567 rat:l l+ Tkauk yuu for }one <br />es9pevatiss in 05 wee: <br />IF THE ANNUAL FEE SUBMITTALS ARE NOT RECEIVED ON OR BEFORE YOUR ANNIVERc.A. <br />DATE, THE ENFORCEMENT PROCESS TWILL AUTOMATICALLY BE INIATIED. ENFORCE:,.!ENT <br />ACTIONS MAY RESULT IN CIVIL PENALTIES ANDIOR REVOCATION OF YOUR PERMIT. <br />Oise O4fze of <br />Mined land Ra se Denver • Gwd JuncBol • DwnW Ani a; -d .ia -ve Mr k= <br />