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KN;I :1P,F v r,F <br /> JAN 0 5 2 <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 /> Russell A.Larsen <br /> Grand Junction Concrete Pipe Co. <br /> 556 Struthers Ave. <br /> Grand Junction,CO 81501-3826 <br /> South Fruita Gravel Pit,Permit M-1981-243,Annual Fee Invoice and Report Request <br /> PLEASE READ CAREFULLY—ACTION REQUIRED <br /> Please attach your COMPLETED written Annual Report and Annual Report Map 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-1981-243 <br /> Operation Name: South Fruita Gravel Pit <br /> Anniversary Date: February 16, 2017 <br /> Total Fee Due: $791.00(Due on or before your Anniversary Date) <br /> pzogo2 ©/-D;6000 t 64 <br /> Sa-t, V Z O9 0 3 6 Z 0,Coa ) ! (o ff <br /> QF cps <br /> 0 <br /> 1313 Sherman St. Room 215 Denver,CO 80203 P(303)866-3567 F <br /> John W. Hickenlooper, Governor Robert W. Randall, Executive Director I Virginia Brannon, Director <br /> `*1876"-' <br />