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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 C O L O R A D O <br /> Denver,Colorado 80203 D IVI S I ON OF <br /> Phone.(303)866-3567 RECLAMATION <br /> MINING <br /> FAX:(303)832-8106 <br /> SAFETY <br /> May 1,2015 John W.Hickenlooper <br /> Governor <br /> Mike King <br /> R. Lewis Fillmore Executive Director <br /> R.Lewis Fillmore <br /> Virginia Brannon <br /> P O Box 258 Director <br /> Boone,CO 81025 <br /> Boone-Fillmore Pit,Permit M-1990-144,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 NOI or Reclamation Permit and Colorado Statutes,you must submit Annual Fees and <br /> Annual Reports(including a map). You must pay the Annual Fee and submit an Annual Report each year until <br /> reclamation responsibility release is granted. The Annual Fee is not a renewal fee. The Fee and Report are for <br /> LAST YEAR'S 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 <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$791.00 fee is due for the following: <br /> Permit: M-1990-144 <br /> Operation Name: Boone-Fillmore Pit <br /> Anniversary Date: June 15,2015 <br /> Total Fee Due: $791.00(Due on or before your Anniversary Date) <br /> Return the enclosed Annual Resort 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 <br /> these documents and fees have already been submitted,please notify the Division. <br /> If you have additional comments and/or information that should be provided to the Division,please provide it below <br /> or attach it to this form along with your written report and map. Annual Report instructions are enclosed. If you <br /> have any questions,please feel free to contact Michelle Ramirez(303)866-3567 ext 8114. Thank you for your <br /> cooperation in this matter. <br /> IF THE ANNUAL FEE SUBMITTALS ARE NOT RECEIVED ON OR BEFORE YOUR ANNIVERSARY <br /> DATE,THE ENFORCEMENT PROCESS WILL AUTOMATICALLY BE INIATIED. ENFORCEMENT <br /> ACTIONS MAY RESULT IN CIVIL PENALTIES AND/OR REVOCATION OF YOUR PERMIT. <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and Inactive Mines <br />