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COLORADO <br /> �- Division of Reclamation, <br /> Kb tg and Safety <br /> De""W12 of Natural Rww= <br /> 131151mmi n St.Roan 215 <br /> M.198si M I,2017 <br /> Joseph M.Gitaudo <br /> Hommmk Mining Company <br /> Cto Batrick Gold orNw*America,Inc <br /> 460 West,50 North,Ste 500 <br /> Salt Lake City,UT 84101 <br /> Pitch Project,Permit M-1977-004,Annual Fee Invoice and Report Request <br /> PLEASE READ CAREFULLY—ACTION REQUIRED <br /> Morse attach Your CQMPLMD writica Annual Rcnorl sad Anneal Report Man to this form <br /> Under the terms of your Reclamation Permit and Colorado Statutes,you must submit an A ntuai Fee and <br /> Annual Report(including a map). You must pay the Annual Fee atd submit an Annual Report each year <br /> until reclamation responsibility release Is granted Tim Annual Fee is not a renewal ree.The Fee and Report <br /> are 1br LAST YEAR'S mining and reclamation season,and MUST be paid even If your operation was <br /> inactive. <br /> The Annual Report and Fee rllquirement will be comidered submitted when we have received the <br /> following components: <br /> 1. APPROPRIATE ANNUAL FEE <br /> 2. COMPLETED&MAL REPORT <br /> 3. ASSGCI&UD MAP as EMIr-ed by rule <br /> If you have requested reclamation responsibility release Rom the Division or Redamadom Mining and <br /> Safety(the"Division")but your permit is not released by the anniversary bate listed below,elm 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 orsubmlt an Annual Report for that year. <br /> Division records indicate the S 1,150.00 fee Is due for the following: <br /> Permit: M-1977.004 <br /> Operation Name: Pitch Pmject <br /> Anniversary Dole: April 19,2017 <br /> Total Fee Due: S1,150.00(Due on or before your Anniversary Date) <br /> 1313 sherman St.Roan Its Daw,CO DDto3 p aml o6 nfi7 ir <br /> John W.HkAenlooper.Govemar I Robert W.Rwiddl,Executive Director I Virginia oramar+,Director s ac <br /> 'te a` <br />