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COLORADO <br /> Division of Reclamation,AV , <br /> Mining and Safety <br /> Department of Naturai Resources <br /> 1313 Sherman St. Room 215 <br /> Denver,CO 80203 <br /> November 1,2016 <br /> Scott R.Brennise <br /> 4B Land&Livestock LLC <br /> 5801 Highway 394 <br /> Craig,CO 81625 - <br /> Breeze Basin Sand&Gravel Pit,Permit M-2008-022,Annual Fee Invoice and Report Request <br /> PLEASE READ CAREFULLY—ACTION REQUIRED <br /> Please attach your COMPLETED written Annual Report and Annual Report May 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-2008-022 <br /> Operation Name: Breeze Basin Sand&Gravel Pit <br /> Anniversary Date: December 4,2016 <br /> Total Fee Due: )k$791.00(Due on or before your Anniversary Date) <br /> -E Q,ttp r`.>A t*N�wr+�2. <br /> G 2G `3 19 r vZo.0 gOcc) <br /> 1313 Sherman St.Room 215 Denver,CO 80203 P(303)866-3567 F I 4 <br /> John W. Hrckenlooper,Governor Robert W. Randall, Executive Director I Virginia Brannon, Director <br />