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• COLORADO <br />Division of Reclamation, <br />Mining and Safety <br />fDepartment of Natural Resources <br />1313 Sherman St. Room 215 <br />Denver, CO 80203 <br />May 31, 2016 <br />Frances A. Phillips <br />Phillips Stone Company, Inc. <br />7850 Ute Hwy <br />1 oncymont CO 80503 <br />RECEIVED <br />AUG 05 2016 <br />OIVIS0Y Ur: ,ta,;LANIAT10N <br />MINING & SAFEW4WINERAri <br />FEE RWpM - <br />WD v,j9 <br />RE['F1X1FD <br />AUG 0 5 2016 <br />DIVISION OF RECLAMATION <br />MININGAND SAFETY <br />AVr� lj V <br />qb <br />Phillips Stone Company, Permit M-1981-075, Annual Fee Invoice and Report Request <br />/ -kh o <br />-?VL r { I <br />C,j- " ,sof <br />PLEASE READ CAREFULLY — ACTION REQUIRED <br />Please attach vour COMPLETED written Annual Report and Annual Re art Ma 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 NIAP 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-1981-075 <br />Operation Name: Phillips Stone Company <br />Anniversary Date: July 30, 2016 <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 these <br />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 />John W. Hickentooper, Governor I Robert W. Randall, Executive Director I Virginia Brannon, Director <br />