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Page 2 of 6 <br /> Return the enclosed Annual Report FORM, a MAP, and a CHECK or MONEY ORDER made payable to: Division of <br /> 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 /> If you have additional comments and/or information that should be provided to the Division, please provide it below or <br /> attach it to this form along with your written report and map. Annual Report instructions are enclosed. If you have any <br /> questions,please feel free to contact Michelle Ramirez(303)866-3567 ext 8114,or email dnr—drfnsminadmin@state.co.us. <br /> Thank you for your cooperation in this matter. <br /> IF THE ANNUAL FEE SUBMITTALS ARE NOT RECEIVED ON OR BEFORE YOUR <br /> ANNIVERSARY DATE, THE ENFORCEMENT PROCESS WILL AUTOMATICALLY BE <br /> INIATIED. ENFORCEMENT ACTIONS MAY RESULT IN CIVIL PENALTIES AND/OR <br /> REVOCATION OF YOUR PERMIT . <br />