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ATCOLORADO <br /> Division of Reclamation. <br /> Mining and Safety <br /> Department at Natural Resources <br /> 1313 Sherman St. Room 215 <br /> Denver, CO 80203 <br /> October 3,2016 <br /> James MacDonald <br /> APC Southern Construction Co.,LLC <br /> 14802 W 44th Avenue <br /> Golden,CO 80403 <br /> Pino Pit,Permit M-2000-118,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 <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 /> I. 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 <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: 4 <br /> Permit: M-2000-118 <br /> Operation Name: Pino Pit <br /> Anniversary Date: November 15,2016 <br /> Total Fee Due: $791.00(Due on or before your Anniversary Date) <br /> 1313 Sherman St. Room 215 Denver,CO 80203 P )303)866-3561 F `^ <br /> r <br /> John W. Hickenlooper,Governor I Robert W. Randait,Executive Director I Virginia Brannon, Director # „ <br /> }1876 x <br />