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• COLORADO <br /> Division of Reclamation, <br /> Mining and Safety <br /> Department of N�tural Resources <br /> 1313 Sherman St. Room 215 <br /> Denver, CO 80203 <br /> July 1,2016 <br /> Christopher L.Varna <br /> Varna Companies,Inc. <br /> 8120 Gage Street <br /> Frederick, CO 80516 <br /> Varra-Coulson Resource Project,Permit M-2013-064,Annual Fee Invoice and Report Request <br /> PLI,ASE READ CAREFULIA —ACTION REQUIRED <br /> Please attach Nottr COMPLETED written .iunual Report and Annual Report 1'lap to 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 Anmal 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-2013-064 <br /> Operation Name: Varra-Coulson Resource Project <br /> Anniversary Date: August 28,2016 <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 /> \, <br /> 1313 Sherman St,Room 215 Denver,CO 80203 p (303)866-3567 F <br /> o! <br /> John W. Hickenlooper, Governor ( Robert W. Randatt, Executive Director I Virginia Brannon, Director <br />