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AVCOLORADO <br />DIVr,u)n cif Noc"Imatiol <br />htuiinu; anti safett <br />March 1.:017 <br />Julie Sevier <br />SolbergGraNcl LLC <br />13745 Garrett Rd <br />Peyton, CO 80811 <br />Solberg Pit, Permit 111-1981-044, Annual Fee Invoice and Report Request <br />PL 1tiF. READ ( kRF t 1 IN- 1CT'10\ RVIQVIRED <br />Please attach %our CO\IPI.FTFI) %%ritten lnnua[ Retâ–º(Irt ant[ Nnnual Report Mali to this form <br />Under the terms of your Reclamation Permit and C o[orado Statutes, you must submit an Annual Fee and <br />Annual Report (including it map)- You Hurst pay the Annual [-cc and Submit an annual Report each year <br />until reclamation responsibility release is granted. I'hc Annual Fee is not a rencual fee. The Fee and Report <br />are for LAST YLAR'S mining and reclamation scaxm, and MUST be paid c%en it' your operation %%as <br />inaetnc <br />The Annual Report and Fee requirement will he considered submitted when we have recei%ed the <br />following components, <br />I. APPROPRIATE .1NNLIAL LU <br />2. COMPLETED ANNIJA , REPORT <br />3, ASSOCIATED h]AP jjrvgyired by rule <br />If you have requested reclamation responsibility ielvasc fioni the DiNision of R"laniation. Mining and <br />Safety ("Division") but your permit is not released by the anni\,crsary date listed below, the Annual Fee <br />MUST be paid. If the permit is released hefore 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 5791.00 fee is due for the following <br />Permit: Nl-1981-044 <br />Operation Dame: Solberg Pit <br />Anne\ ersary Date: Api it 7, 2017 <br />Total Fee Due: `6791.00 (Due on or before your Annnersary Date) <br />