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COLORADO <br /> Division of Reclamation, <br /> Mining and Safety A U G 0 4 2016 <br /> Department of Natural Resources <br /> 1113 `,hol[11,1r St. Rn,,*I! _'1a <br /> Drnv,i C0 Fti)?t1 <br /> August 1,2016 <br /> Kevin Anderson <br /> Connell Resources, Inc. <br /> 7785 Highland Meadows Parkway <br /> Fort Collins,CO 80528 <br /> Connell Carr Pit,Permit M-2014-001,Annual Fee Invoice and Report Request <br /> PLEASE READ CAREFULLY—ACTION REQUIRED <br /> Please attach your COMPLETED written Annual Report and Annual Report Man to this form <br /> Under the terms of your Reclamation Permit and Colorado Statutes, you must submit an Annual Fee and <br /> Annual Report(including a map). You must pay the Annual Fee and submit an Annual Report each year <br /> until reclamation responsibility release is granted. The Annual Fee is not a renewal fee. The Fee and Report <br /> are for LAST YEAR'S mining and reclamation season, and MUST be paid even if your operation was <br /> inactive. <br /> The Annual Report and Fee requirement will be considered submitted when we have received the <br /> following components: <br /> 1. APPROPRIATE ANNUAL FEE <br /> 2. COMPLETED ANNUAL REPORT <br /> 3. ASSOCIATED MAP as reauired by rule <br /> If you have requested reclamation responsibility release from the Division of Reclamation, Mining and <br /> Safety ("Division") but your permit is not released by the anniversary date listed below, the Annual Fee <br /> MUST be paid. If the permit is released before the anniversary date,then by Statute, it is not necessary to <br /> pay an Annual Fee or submit an Annual Report for that year. <br /> Division records indicate the $791.00 fee is due for the following: <br /> Permit: M-2014-001 <br /> Operation Name: Connell Carr Pit <br /> Anniversary Date: September 26,2016 <br /> Total Fee Due: $791.00(Due on or before your Anniversary Date) <br /> , t <br /> I 5 win,,jn Si Rornrt 11'r D+ C0�,02,u3 P t'W ?1,(Of, 1'>h7 '� �- ` ? l0� <br /> C -I ou poly!t '%V P;i i.I I I —,r it lvC Dtri>ct ,i I !agar.;Lnilnun Un •,'G �* ,1�,�<'%* <br /> • *�876 <br />