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COLORADO <br /> Division of Reclamation, <br /> • Mining and Safety <br /> Department of Natural Resources <br /> 1313 Sherman St.Room 215 <br /> Denver,CO 80203 <br /> September 1,2015 <br /> Nathan Rinderle <br /> Upland Gravel,LLC <br /> 3202 Springfield Rd <br /> Grand Junction,CO 81503 <br /> Upland Gravel,Permit M-2001-088,Annual Fee Invoice and Report Request <br /> PLEASE READ CAREFULLY—ACTION REQUIRED <br /> Please attach Your COMPLETED written Annual Re ort and Annual Re rt Ma to this form <br /> Under the tenons of your Reclamation Permit and Colorado Statutes, you must submit an Annual Fee and Annual <br /> Report(including a map). You must pay the Annual Fee and submit an Annual Report each year until reclamation <br /> responsibility release is granted. The Annual Fee is not a renewal fee. The Fee and Report are for LAST YEAR'S <br /> mining and reclamation season,and MUST be paid even if your operation was inactive. <br /> The Annual Report and Fee requirement will be considered submitted when we have received the following <br /> components: <br /> I. APPROPRIATE ANNUAL FEE <br /> 2. COMPLETED ANNUAL REPORT <br /> 3. ASSOCIATED MAP required by rule <br /> If you have requested reclamation responsibility release from the Division of Reclamation, Mining and Safety <br /> ("Division")but your permit is not released by the anniversary date listed below,the Annual Fee MUST an paid. If <br /> the permit is released before the anniversary date,then by Statute, it is not necessary to pay an Annual Fee or submit <br /> an Annual Report for that year. <br /> Division records indicate the S791.00 fee is due for the following: <br /> Permit: M-2001-088 <br /> Operation Name: Upland Gravel <br /> Anniversary Date: October 17,2015 <br /> Total Fee Due: $791.00(Due on or before your Anniversary Date) <br /> Return the enclosed Annual Report FORM,a MAC,and a CHECK or MONEY ORDER made payable to: Division <br /> of Reclamation,Mining and Safety, 1313 Sherman St.,Room 215,Denver,CO 80203. If your records indicate these <br /> documents and fees have already been submitted,please notify the Division. <br /> o cow <br /> 1313 Sherman St. Room 215 Denver,CO 80203 P(303)866-3567 F I o1 <br /> John W.Hickenlooper,Governor I Mike King, Executive Director I Virginia Brannon Director <br /> 1876 <br />