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<br /> <br />1313 Sherman St. Room 215 Denver, CO 80203 P (303) 866-3567 F <br />John W. Hickenlooper, Governor | Robert W. Randall, Executive Director | Virginia Brannon, Director <br />1313 Sherman St. Room 215 <br />Denver, CO 80203 <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Monogram Mines, Permit M-1978-222-UG, Annual Fee Invoice and Report Request <br /> <br />PLEASE READ CAREFULLY – ACTION REQUIRED <br />Please attach your COMPLETED written Annual Report and Annual Report Map to this form <br /> <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 opera tion was <br />inactive. <br /> <br />The Annual Report and Fee requirement will be considered submitted when we have received the <br />following components: <br /> <br />1. APPROPRIATE ANNUAL FEE <br />2. COMPLETED ANNUAL REPORT <br />3. ASSOCIATED MAP as required by rule <br /> <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 /> <br />Division records indicate the $1,150.00 fee is due for the following: <br />Permit: M-1978-222-UG <br />Operation Name: Monogram Mines <br />Anniversary Date: March 1, 2017 <br />Total Fee Due: $1,150.00 (Due on or before your Anniversary Date) <br /> <br />February 1, 2017 <br />Craig Howell <br />Nuvemco, LLC <br />PO Box 297 <br />Naturita, CO 81422