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• : COLORADO <br /> Division of Reclamation, <br /> Mining and Safety <br /> 1313 Sherman St. Room 215 <br /> Denver. CO 80203 <br /> October 3, 2016 <br /> Ferd& Matt Mueller <br /> Siloam Stone, Inc. <br /> 315 N. 7th St. <br /> Canon City,CO 81212 <br /> Pinon Mine,Permit M-1997-094,Annual Fee Invoice and Report Request <br /> PLEASE READ CAREFULLY—ACTION REQUIRED <br /> Please attach ♦our COMPLETED"ritten 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-1997-094 <br /> Operation Name: Pinon Mine <br /> Anniversary Date: November 20, 2016 <br /> Total Fee Due: $323.00(Due on or before your Anniversary Date) <br /> Ov Cp/,. <br /> 1313 Sherman St. Room 215 Denver. CO 80203 P 0031 866-3567 F <br /> John W. Hxkentoo er. Governor I Robert W Randah, Executive Director I Virginia Brannon, Director P ,. <br /> ` 1876 ` <br />