2015-05-11_REPORT - M1996007 - Laserfiche WebLink

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4, 4," R COLORADO CO -- Division of Reclamation. Mining and Safety Deocutment of Natural Rnmirccs 1313 Shemin St.Room 215 I handl,ow*aye 1 have naiad the ex services toed Denver,CO 00293 hereon,that f have carefully h� wonted or �ttlna mmn�dUsa and them Tn oo tlNcaranfon and Deryare h apsdRntiau ttTrun or goods April 1,2016 wen uttrfadeey or • tlra aervkae 7rale Dale rade S/ijQn'�'�"a Kane Schneider Pmol a Print Hare"1 _ Colorado Department of Transportation 606 S.9th St cosi Beis 7 ——o ell'—/'sea. iunetbrl Grand Junction,CO 81501 Spring Creek Pass,Permit M-1996-007,Annual Fee Invoice and Report Request PLEASE REAP)CAREFULLY-ACTION REQUIRED Please attach sour C OMPLETF.D written Annual Report and Annual Report Man to this form Under the terms of your Reclamation Permit and Colorado Statutes,you must submit en 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: I. APPROPRIATE ANNUAL FEE 2. COMPLETED ANNUAL REPORT 3. ASSOCIATED MAP as reaulred by rule If you have requested reclamation responsibility release from the Division of Reclamation,Mining and Safety(the "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 5791.00 fee is due for the following: Permit: M-1996-007 Operation Name: Spring Creek Pass Anniversary Date: May 2,2016 Total Fee Due: $791.00(Due on or before your Anniversary Date) Return the enclosed Annual Report FORM,a MAP,and a CHECK 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 nodfy the Division. If you have additional comments and/or information that should be provided to the Division,please provide it below or attach it to this form along with your written report and map. Annual Report instructions are enclosed, If you have 4". eq-�- k \e. 1313 Sherman St.Room 215 Denver,CO 50203 P(303)866.3567 F i.t', Tp:,., John W.Hickentooper,Governor 1 Robert W.Randall,Executive Director 1 Virginia Brannon,Director cl; -4f.f tt