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COLORADO <br /> Division of Reclamation, <br /> Mining and Safety <br /> Department of Natural Resources 'J <br /> 1313 Sherman St. Room 215 Vendor Id <br /> Denver, Co 80203 Highltght number . date mt <br /> Description or _ <br /> November 1, 2016 Received by ate <br /> Approved by & Date <br /> Account Code Arnound <br /> Jim Sheridan <br /> Cotter Corporation �p <br /> P.O.Box 700 - - ---�- - <br /> Nucla,CO 81424 <br /> JD-7 Pit,Permit M-1979-094-11R,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(the"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$1,150.00 fee is due for the following: <br /> Permit: M-1979-094-HR <br /> Operation Name: JD-7 Pit <br /> Anniversary Date: December 14, 2016 <br /> Total Fee Due: $1,150.00 (Due on or before your Anniversary Date) <br /> COj0 <br /> 1313 Sherman St. Room 215 Denver, CO 80203 P (303) 866-3567 F O J <br /> John W. Hickenlooper, Governor I Robert W. Randall, Executive Director ( Virginia Brannon, Director * *f <br /> 1876�`/ <br />