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°P4R ; COLOR A DO <br /> IftirDivision of Reclamation, <br /> Mining and Safety <br /> 1313 Sherman St. Room 215 <br /> Denver,CO 80203 <br /> December 31,2015 <br /> Sandra R.DuCray <br /> Mountain Region Corporation <br /> 117 29 3/4 Road <br /> Grand Junction,CO 81503 <br /> Orchard Mesa Aggr,Permit M-1995-005,Annual Fee Invoice and Report Request <br /> .,. <br /> ?i' ,y_atztO ,' m ,ri) Pa K!..1 frkao«@ S.'c; ys` � _'p°:.a '..4 � ti: fZ✓c`p)t:.;_,!' io,)ao this form <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 /> 1. APPROPRIATE ANNUAL FEE <br /> 2. COMPLETED ANNUAL REPORT <br /> 3. ASSOCIATED MAP as required by rule <br /> If 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 year. <br /> Division records indicate the$791.00 fee is due for the following: <br /> Permit: M-1995-005 <br /> Operation Name: Orchard Mesa Aggr <br /> Anniversary Date: February 16,2016 <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 /> Co19 <br /> 1313 Sherman St. Room 215 Denver.CO 80203 P(3031 866-3567 F 'i*; <br /> John W. Hickentooper,Governor I Mike King,Executive Director I Virginia Brannon,Director <br /> '*1876 / <br />