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COLORADO <br /> Division of Rectamatiom <br /> Xmutg and Safety <br /> owvvment d Nat:sst an xxecec <br /> 1311 sberman St.Room 215 <br /> Defw" CO BM03 <br /> November 20,2015 <br /> Mike Ausbum <br /> Pioneer Sand Company,Inc. <br /> P.O. Box 7650 <br /> Colttradcl Springs,CO 80433-7650 <br /> Pioneer Farm,Permit M-2000-080,Annual Fee Invoice and Report Request <br /> 1'LLASE READ CAREFULLY—ACTION REQUIRED <br /> Please attach your COMPLETED written Annual Report and Annual Report N11up it)this forni <br /> Under the terms of your Reclamation Permit and Colorado Statutes, you must submit an Annual Fee and Annual <br /> Report(including a map). You must pay the Annual Fee and submit an Annual Report each year until reclamation <br /> responsibility release is granted. The Annual Fee is not 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 following <br /> components: <br /> I. APPROPRIATE ANNUAL.FEE <br /> 2. COMPLETED ANNUAL REPOR f <br /> 3. ASSOCIATED MAP as required bN rule <br /> 1C you have requested reclamation responsibility release from the Division of Reclamation, Mining and Safety <br /> ('Division")but your permit is not released by the anniversary date listed below.the Annual Fee MUST be paid. If <br /> the permit is released before the anniversary date,then by Statute,it is not necessary to pay an Annual Fee or submit <br /> an Annual Report for that y ear. <br /> Division records indicate the$791.00 fee is due for the following: <br /> Permit: M-2000-080 <br /> Operation Name: Pioneer Farm <br /> Anniversary Date. January 23.2016 <br /> Total Fee Due: $791.00(Due on or before your Anniversary Date) <br /> Return the enclosed Annual Report FORM,a MAP,and a CHECK or MONEY ORDER made payable to: Division <br /> of Reclamation.Mining and Safety. 1313 Sherman St.,Room 215,Denver.CO 80203. If your records indicate these <br /> documents and fees have already been submitted,please notify the Division. <br /> 1313 Snerman St,Room 215 Denver.CO 80203 P 1303[868-35b7 F <br /> �uttn W. rti-,kenkoopef.Governer Mike t(stg.Enecutwe Direttur I Virginia Brannon,Director <br /> aj s <br />