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JAN092017 <br /> • COLORADO <br /> Division of Reclamation, BY: M/iA 1}- <br /> Mining and Safety <br /> Department of Natural Resources <br /> 1313 Sherman St.Room 215 R '70005'-2 70 7 <br /> Denver,CO 80203 /b o� „ <br /> January 2,2017 � �j / <br /> i h6Wby rAtlii that I have received the goods or services listed <br /> NOW-.. thaf f nave carefully Inspected Weighed,counted or <br /> Kane Schneider rneasv,rW the t,ommarl'tiea and found them In good condition <br /> and tkrrtplying wtte,the specifications given or That the goods <br /> Colorado Department of Transportation and sery . tt.rr,+wnt(avt compliance,or that the services <br /> 606 S.9th St. W&I says be 'ry e �111 <br /> Grand Junction,CO 81501 a .w'B µµµ��� <br /> pate iet iaVa}tt i of Pr Mng goodalservioes <br /> p Ptint Name AS <br /> Cost cerfte? Obj u N Function <br /> BLM Olathe Pit,Permit M-1986-037,Annual Fee Invoice and Report Request <br /> PLEASE READ CAREFULLY—ACTION REQUIRED <br /> Please attach your COMPLETED written Annual Report and Annual Report Ma 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$323.00 fee is due for the following: <br /> Permit: M-1986-037 <br /> Operation Name: BLM Olathe Pit <br /> Anniversary Date: February 1,2017 <br /> Total Fee Due: $323.00(Due on or before your Anniversary Date) <br /> F'°10 <br /> 1313 Sherman St.Room 215 Denver,CO 80203 P(303)866.3567 f " <br /> John W.Hickentooper,Governor I Robert W. Randatt, Executive Director I Virginia Brannon,Director <br /> It 1876+ <br />