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u�COLORADO <br />Division of Reclamation. <br />Mining and Safety <br />Departrrnnt of Natural Resources <br />1313 Sherman St. Room 215 <br />Denver, CO xDZ03 <br />May 2, 2016 <br />Ray Anderson <br />Puckett Land Company <br />5460 S. Quebec St., Suite 250 <br />Greenwood Village, CO 80111 <br />Nolte Pit #I, Permit M-2012-016, Annual Pee Invoice and Report Request <br />RECEIVED <br />MAY o 4 205 <br />PLEASE READ CAREFULLY —ACTION REQUIRED <br />I'lease attach vour COMPLETED n ritten Ann al Report uud Annual Report Map to this forth <br />Under the terms of your Reclamation Permit and Colorado Statutes, you must submit an Annual Fee and Annual <br />Report (including a map). You must pay the Annual Fee and submit an Annual Report each year until reclamation <br />responsibility release is granted. The Annual Fee is nut a renewal fee. The Fee and Report are for LAST YEAR'S <br />mining and reclamation season, and MUST be paid even if your operation was inactive. <br />The Annual Report and Fee requirement wilt be considered submitted when we have received the following <br />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 Safety <br />("Division") but your permit Is not released by the anniversary date listed below, the Annual Fee MUST be paid. If <br />the permit is released before the anniversary dote, then by Statute, it is not necessary to pay an Annual Fee or submit <br />an Annual Report for that year. <br />Division records Indicate the S504.00 fee is due for the fallowing: <br />Permit: <br />M•2012.016 <br />Operation Name: <br />Nolte Pit #I <br />Anniversary Date: <br />June 27, 2016 <br />Total Fee Due: <br />$504.00 (Due on or before your Anniversary Dole) <br />Return the enclosed Annual Renort FORM, a MAP, and it CHECK or MONEY ORDER made payable to: Division <br />of Reclamation, Mining and Safety, 1313 Sherman St., Room 215, Denver, CO 80203. If your records Indicate these <br />documents and fees have already been submitted, please notify the Division. <br />1313 Sherman St. Room 215 Denver, CO 80203 P (3D3)866.3567 F = k <br />John W. Hickenlooper. Governor t Robert W. Randatt_ Executive Director i Virginia Brannon, Director, ` <br />era t+� <br />