2016-01-28_REPORT - M2000080 - Laserfiche WebLink

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C -C .CRA E Division ranitanlatanatton. lentos mad Safety tE{E Sterman St. Room E15 Deaver, CO 80103 November 20, 2015 Mute Ausburn Pioneer Sand Company, Inc. P.M Bos 7650 Colorado Springs,CO 80933-7650 4 Lei (,,A- )0,61 dtt-c-L Pioneer Farm, Permit M-2000.080, Annual Fee Invoice and Report Request PLEASE READ CAREFULLY — ACTION REQUIRED Please attach your COMPLETED written Annual Report and Annual Retort Map to this form tinder the terms of your Reclamation Permit and Colorado Statutes, 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 minting and reclamation season. and MUSTbc 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 2. COMPLETED ANNElAI. REPORT 3. ASSOCIATED MAP as required by rule 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 Anwar Report for that year. Division records indicate the 5791.00 fee is due for the following: Permit, M-2000-080 Operation Name: Pioneer Farm Anniversary Date: January 23, 2016 Total Fee Due: S79I.00 (Due on or before your Anniversary Date) Return the enclosed Annual Reoort FORM. a MAP, and a CK or MONEY ORDER made payable to: Division of Reclamation, Miming and Safety, I313 Sherman St., Room 215, Denver, CO 80203. If your records indicate these documents and fees have already been submitted, please notify the Division. 1313 Sherman 5t. Room 215 Denver, CO 80203 P (3031866.3567 F S. n W. ttichentrsoper, Governor t Mitre King, Executive Director 1 Virginia Braman, Director