2017-02-28_REPORT - M1985008

• Permit No: M1985008
• IBM Index Class Name: REPORT
• Doc Date: 2/28/2017
• Doc Name: Annual Fee/Report/Map
• From: Hard Rock Paving & Redi Mix
• To: DRMS
• Annual Report Year: 2017
• Email Name: ECS
• Media Type: D
• Archive: No

� COLORADO
°r 1
Division of Reclamation,
Mining and Safety
1313 Sherman St. Room 215
Denver, CO 80203
February 1,2017
John P.Ary
Hard Rock Paving and Redi-Mix,Inc.
839 Mackenzie Ave
P.O.Box 165
Canon City,CO 81215
Leone-Gardner Gravel,Permit M-1985-008,Annual Fee Invoice and Report Request
PLEASE READ CAREFULLY—ACTION REQUIRED
Please attach your COMPLETED written Annual Report and Annual Report Map 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 required by rule
If you have requested reclamation responsibility release from the Division of Reclamation, Mining and
Safety ("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-1985-008
Operation Name: Leone-Gardner Gravel
Anniversary Date: March 22,2017
Total Fee Due: $323.00(Due on or before your Anniversary Date)
1313 Sherman St. Room 215 Denver,CO 80203 P [phone] F
John W. Hickenloopet,Governor I Robert W. Randall, Executive Director ) Virginia Brannon, Director ,}
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