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COLORADO <br /> Division of Reclamation, <br /> Mining and Safety <br /> Department of Natural Resources <br /> 1313 Sherman St. Room 215 <br /> Denver,CO 80203 <br /> June 1,20 L� <br /> Fred Schmalz <br /> Schmalz Construction Ltd <br /> P.O.Box 1105 <br /> 720 S. 8th St. <br /> Gunnison,CO 81230 <br /> Schmalz Const Pit,Permit M-1984-069,Annual Fee Invoice and Report Request <br /> PLEASE READ CAREFULLY—ACTION REQUIRED <br /> Please attach your COMPLETED written Annual Report and Annual Report Map 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 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$323.00 fee is due for the following: <br /> Permit: M-1984-069 <br /> Operation Name: Schmalz Const Pit <br /> Anniversary Date: July 12,201 <br /> Total Fee Due: $323.00 (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 <br /> these documents and fees have already been submitted,please notify the Division. <br /> 1313 Sherman St. Room 215 Denver, CO 80203 P(303)866-3567 F <br /> * ict*r <br /> John W. Hickentooper, Governor I Mike King, Executive Director I Virginia Brannon, Director \*` : �,��� <br /> ` 187r ' <br />