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Return the enclosed Annual Report FORM, a MAP, and a'H( FC'K or MONEY ORDF,R made payable to: <br />Division of Reclamation, Mining and Safety, 1313 Sherman St., Room 215, Denver, CO 80203. If your <br />records indicate these 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 <br />it below or attach it to this form along with your written report and map. Annual Report instructions are <br />enclosed. If you have any questions, please feel free to contact Scottie Tate ((303) 866-3567 ext 8166), <br />Michelle Ramirez ((303) 866-3567 ext 81 14), or email dtir.,-Lirinsiiiinadiiiiii(tc.state.co.us. Thank you for your <br />cooperation in this matter. <br />1F THE ANNUAL FEF. SUBMITTALS ARF NOT RECEIVED ON OR BEFORE YOUR <br />ANNIVERSARY DATE. THE ENFORCF% NT PROCESS WILL AUTOMATICALLY BE <br />INITIATED. ENFORCEMENT ACTIONS MAY RESULT IN CIVIL PENALTIES ANDiOR <br />REVOCATION OF YOUR PERMIT. <br />