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COLORADO <br /> Division of Reclamation, <br /> Mining and Safety <br /> D(,r rt)nvrt of 1:7tural RPSou,ces <br /> 1313 Sherman St. Room 215 <br /> Denver, CO 80203 <br /> October 3,2016 <br /> Byron Weathers <br /> Byron J.&LaLani R.Weathers <br /> 11955 CR 37 <br /> Yuma,CO 80759 <br /> Weathers Mine#I,Permit M-1999-089,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 /> 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 <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$323.00 fee is due for the following: <br /> Permit: M-1999-089 <br /> Operation Name: Weathers Mine#1 <br /> Anniversary Date: November 18,2016 <br /> Total Fee Due: $323.00(Due on or before your Anniversary Date) <br /> 1313 Sherman St. Room 215 Denver, CO 80203 P t303►866-3567 F <br /> John W. Hickentooper, Governor ( Robert W. Randall, Executive Director l Virginia Brannon, Director <br />