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COLORADO <br /> Division of Reclamation, <br /> Mining and Safety <br /> Ccaa,tmen,of Natura?Pesou-ces <br /> 1313 Sherman St. Room 215 <br /> Denver, CO 80203 <br /> May 2, 2016 <br /> Alvin Mosch <br /> Alvin Mosch-Patricia Mosch <br /> Phoenix Gold Mine <br /> P.O. Box 3244 <br /> Idaho Springs, CO 80452 <br /> Phoenix Mine,Permit M-1982-075,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 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 MAP as required by rule <br /> If you have requested reclamation responsibility release from the Division of Reclamation, Mining and Safety(the <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$259.00 fee is due for the following: <br /> Permit: M-1982-075 <br /> Operation Name: Phoenix Mine <br /> Anniversary Date: June 14,2016 <br /> Total Fee Due: $259.00(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 /> —co <br /> 1313 Sherman St. Room 215 Denver, CO 80203 P (303) 866-3567 F 1 O <br /> * 1 <br /> John W. Hickenlooper, Governor I Robert W. Randall, Executive Director I Virginia Brannon, Director * �, �x� *,- <br /> 1876/ <br />