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i <br /> COIL- ORADG <br /> l)1Vrr.lrn1 of fiect._nn.lttrn; <br /> r'1111111,f.IIId t i ; <br /> 1113 Showi,+n 5t Room 11` <br /> Donvci. W 3020; <br /> December 1,2016 <br /> James Cooley <br /> J and K Limestone Products,LLC <br /> 4469 N CR 108 <br /> Mosca,CO 81146 <br /> J and K Limestone Products-Villa Grove Pit, Permit M-2000-116, Annual Fee Invoice and Report <br /> 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 Pen-nit 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-2000-116 <br /> Operation Name: J and K Limestone Products-Villa Grove Pit <br /> Anniversary Date: January 24,2017 <br /> Total Fee Due: $791.00(Due on or before your Anniversary Date) <br /> h hn W fiicH,n(u,+per,tac,v, rnnr i RrOortW, I.I :•i ll Enr'ckl;i ,<, i:,i , Vwr mjo f4onnon, 01w, l'n <br />