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' ; COLORADO <br /> Division of Reclamation, <br /> Mining and Safety <br /> 1313 Sheciiiaii St. Rmm,) 215 <br /> Denvci,, CO 80203 <br /> July 1, 2016 <br /> Elaine Urie <br /> Urie Rock Company <br /> 2424 East Main Street <br /> Rangely, CO 81648 <br /> Urie Gravel Pit,Permit M-2009-038,Annual Fee Invoice and Report Request <br /> PLEASL' READ CAREFULLY—AC1 ION REQUIRED <br /> Please attach your ('O1IPIAT1,;1) ssritten Annual Report and Annual Report Aiapio 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$79 1.00 fee is due for the following: <br /> Permit: M-2009-038 <br /> Operation Name: Urie Gravel Pit <br /> Anniversary Date: August 21,2016 <br /> Total Fee Due: $79 1.00(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 Sc, Room 215, Denver,CO 80203, If your records indicate these <br /> documents and fees have already been submitted,please notify the Division. <br /> 0, <br /> 1113 S�emnar, St Room 215 De-,e- CC)8u20 P 003) 866 356/F <br /> I Rutx- v;. R3nda:t. EKI-CW I.—D—P-'w : VI,jicla ki!iu-�nno, D rear tw <br /> 1870 <br />