2017-02-08_REPORT - M1979155 (2)

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1313 Sherman St. Room 215 Denver, CO 80203 January 2, 2017 Kane Schneider Colorado Department of Transportation 606 S. 9th St. Grand Junction, CO 81501 t-1 171 JAN 0 4 2012 BY. 711 }AAA Il- q08 Q17 s �� 7poDSz6 / fig ya/,*300(0j Dotsero Cinder Pit, Permit M-1979-155, Annual Fee Invoice and Report Request PLEASE READ CAREFULLY— ACTION REQUIRED Please attach vour COMPLETED written Annual Report and Annual Report Mat) to this form. Under the terms of your Reclamation Permit and Colorado Statutes, you must submit an Annual Fee and Annual Report (including a map). You must pay the Annual Fee and submit an Annual Report each year until reclamation responsibility release is granted. The Annual Fee is not a renewal fee. The Fee and Report are for LAST YEAR'S mining and reclamation season, and MUST be paid even if your operation was inactive. The Annual Report and Fee requirement will be considered submitted when we have received the following components: 1. APPROPRIATE ANNUAL FEE 2. COMPLETED ANNUAL REPORT 3. ASSOCIATED MAP as reauired by rule If you have requested reclamation responsibility release from the Division of Reclamation, Mining and Safety (the "Division") but your permit is not released by the anniversary date listed below, the Annual Fee MUST be paid. If the permit is released before the anniversary date, then by Statute, it is not necessary to pay an Annual Fee or submit an Annual Report for that year. Division records indicate the $323.00 fee is due for the following: Permit: M-1979-155 Operation Name: Dotsero Cinder Pit Anniversary Date: February 1, 2017 Total Fee Due: $323.00 (Due on or before your Anniversary Date) I hereby c artify that I have received the goods or services listed COLORADO harem. th,' I have carefully inspected weighed, counted or found Division of Reclamation, Mining and Safety and .,omptying given goods Department of Natural Resources 1313 Sherman St. Room 215 Denver, CO 80203 January 2, 2017 Kane Schneider Colorado Department of Transportation 606 S. 9th St. Grand Junction, CO 81501 t-1 171 JAN 0 4 2012 BY. 711 }AAA Il- q08 Q17 s �� 7poDSz6 / fig ya/,*300(0j Dotsero Cinder Pit, Permit M-1979-155, Annual Fee Invoice and Report Request PLEASE READ CAREFULLY— ACTION REQUIRED Please attach vour COMPLETED written Annual Report and Annual Report Mat) to this form. Under the terms of your Reclamation Permit and Colorado Statutes, you must submit an Annual Fee and Annual Report (including a map). You must pay the Annual Fee and submit an Annual Report each year until reclamation responsibility release is granted. The Annual Fee is not a renewal fee. The Fee and Report are for LAST YEAR'S mining and reclamation season, and MUST be paid even if your operation was inactive. The Annual Report and Fee requirement will be considered submitted when we have received the following components: 1. APPROPRIATE ANNUAL FEE 2. COMPLETED ANNUAL REPORT 3. ASSOCIATED MAP as reauired by rule If you have requested reclamation responsibility release from the Division of Reclamation, Mining and Safety (the "Division") but your permit is not released by the anniversary date listed below, the Annual Fee MUST be paid. If the permit is released before the anniversary date, then by Statute, it is not necessary to pay an Annual Fee or submit an Annual Report for that year. Division records indicate the $323.00 fee is due for the following: Permit: M-1979-155 Operation Name: Dotsero Cinder Pit Anniversary Date: February 1, 2017 Total Fee Due: $323.00 (Due on or before your Anniversary Date) I hereby c artify that I have received the goods or services listed harem. th,' I have carefully inspected weighed, counted or found nteacztswd tree .Pmmodities and them in good condition with the specifications or that the and .,omptying given goods and sc Nv. aE ere in cn,1erk*C compliance, or that the services were s:'thoal tgry except ars nobite t�rr. rauclety 3i9qjtu!s of �`2� �r� ggods/services C �y7rt-�a� FG l # r)nnt Name _ �ub. of Cpl Cost Caister 010 Function re 1313 Sherman St. Room 215 Denver, CO 80203 P (303) 866-3567 F I * • • John W. Hickenlooper, Governor I Robert W. Randall, Executive Director I Virginia Brannon, Director ��l876 �•�