2016-09-20_REPORT - M2001068 - Laserfiche WebLink

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ntm[pffi COLORASO Division of Reclarnation, I,tininq and Eafety DepsrtmeIll sf ldatural Resources 1313 S1*r*:c:-':51. Ii***': li3 llenY€., {e 8t?I3 August 1,2016 Brent Tamburelli Tamrock Gravel LLC 137 East Plum St. Trinidad, CO 81082 Bottomless Pit, Permit M-2001-068, Annual Fee Invoice and Report Request PLEASE READ CAREFULLY _ ACTION REQUIRED Please attach your COMPLETED written Annual Report and Annual Report Mao to this form Under the terms of your Reclamation Permit and Colorado Statutes, you must submit an Annual Fee and Annual Report (including a map). You must pay the Annual Fee and submit an Annual Report each year until reclamation responsibility release is granted. The Annual Fee is not a renewal fee. The Fee and Reporl are for LAST YEAR'S mining and reclamation season, and MUST be paid even if your operation was i nacti ve. The Annual Report and Fee requirement will be considered submitted when we have received the following components: 1. APPROPRIATE ANNUAL FEE 2. COMPLETED ANNUAL REPORT 3. ASSOCIATED MAP as required bv rule If you have requested reclamation responsibility release from the Division of Reclamation, Mining and Safety ("Division") but your permit is not released by the anniversary date listed below, the Annual Fee MUST be paid. If the permit is released before the anniversary date, then by Statute, it is not necessary to pay an Annual Fee or submit an Annual Reporl for that year. Division records indicate the $791.00 fee is due for the following: Permit: Operation Name: M-2001-068 Bottomless Pit Anniversary Date: September 17,2016 Total Fee Due: $791.00 (Due on or before your Anniversary Date) 1J13 Shern:an :t. Roal:: 211 *enver. C{} 3S203 p {3*3i 85&-3:*? f J*ln W. l-firk*r:l**p*r, Coverncr I i{cb*r: Yr'. QendaLl, *ecrljv* }ii"e;:*r I Virginia *r**::cn, }!r€.t*r