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A7ICOLORADO <br /> Division of Reclamation, <br /> 1 Mining and Safety <br /> 1313 Sherman St. Room 215 <br /> Denver, CO 80203 <br /> October 3,2016 <br /> Gregory L.Brown <br /> Bear River Sand and Gravel, LLC <br /> 6688 N.Central Expressway#650 <br /> Dallas,TX 75206 <br /> Bear River S&G,Permit M-1986-040,Annual Fee Invoice and Report Request <br /> PLEASE READ ; AR:EH'LL.Y A(`TI0-N REQt1-1--RZEP <br /> Please attach vour t=ONIPLETED`v itten Annu.--1 Rej2ort and' Annuai lleLicrt 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 $791.00 fee is due for the following: <br /> Permit: M-1986-040 <br /> Operation Name: Bear River S&G <br /> Anniversary Date: November 20,2016 <br /> Total Fee Due: $791.00(Due on or before your Anniversary Date) <br /> t F_ <br /> G <br /> 1313 Sherman St. Room 215 Denver, CO 80203 P(303)866-3567 F <br /> John W. Hickenlooper. Governor I Robert W. Randall, Executive Director I Virginia Brannon, Director *� a <br /> r 1£37b+ <br />