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80 OV-104 PRSRT FIRST-CLASS MAIL <br /> US POSTAGE PAID <br /> I I I III III III I IIII IIII it IIIIIIIIIIII <br /> Denver, CO <br /> `,l-ATE O�� P,(�1 r�R�rt^ 601 1 1 701 03-1 1 5320921 PERMITA+ 738 _ <br /> DEPARTMENT OF NL,'r,4AA! RESOURCES <br /> DIVISION OF RECLAMATION,MINING AND SAFET 7 <br /> 1313 SHERMAN STREET,SUITE 215 --_ <br /> DENVER COLORADO 80203 U " <br /> ^� <br /> 341300000 <br /> NIXIE 808 C7 8681%1�j 17 RECEIVED <br /> l;'' R)rTlfkN TO SENA.ER <br /> NOT DELIVERABLE AS ADDRESSEDUNABLE TO 'iZORWARD Z -AAN 17 2017 <br /> BC: 80203227999 8159N818191-80663 <br /> p------.-•..�,.�t,il�Itt�iut�u���ltf�lhtt,tln�t�lt11'II'�I'111f1!'t"11llfllt ' DMSION OF ON <br /> MINING SAFETY <br /> COLORADO <br /> Division of Reclamation, <br /> Mining and Safety <br /> Department of Natural Resources <br /> 1313 Sherman St. Room 215 <br /> Denver, CO 80203 <br /> January 2,2017 <br /> 1 Julie Sevier <br /> ' Raymond F.&Robert W.Dellacroce <br /> Pioneer Sand Co.,Inc. <br /> P.O.BOX 7650 <br /> Colorado Springs,CO 80903 <br /> Dellacroce Pit,Permit M-1993-050,Annual Fee Invoice and Report Request <br /> PLEASE READ CAREFULLY—ACTION REQUIRED <br /> Please attach Your COMPLETED written Annual Report and Annual Resort 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 />