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Pace x ors <br /> Return the enclosed ANyai Renort FORM,a jv&and a CHECK or MONEY ORDER made payable to: <br /> Division orReciamation,Mining and Safety, 1313 Sherman St.,Room 215,Denver,CO 80203. ifyour <br /> records indicate these documents and fees have already been submitted,please notify the Division. <br /> iryou have additional comments andlor information that should be provided to the Division,please provide <br /> it below or attach it to this form along with your written report and map. Annual Report instructions am <br /> enclosed. Iryou have any questions,pies se feel free to contact Scottie Tate((303)866-3567 ca 8166). <br /> MichOle Ramirez((303)866-3567 ext 8l l4�or email dnr drrresminadAo@siate eaus. Thank you foryour <br /> cooperation in this matter. <br /> IF THE ANNUAL FEE SUBMtTrALS ARE NOT RECEIVED ON OR BEFORE YOUR <br /> ANNIVERSARY DATE, THE ENFORCEMENT PROCESS WILL AUTOMATICALLY BE <br /> INITIATED. ENFORCEMENT ACTIONS MAY RESULT IN CIVIL PENALTIES AND/OR <br /> REVOCATION OF YOUR PERMIT. <br />