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Return the enclosed Annual Report FORM, a Iv1AP, and a CHECK or MONEY ORDER made payable to: <br /> Division of-Reclamation. Minim and Safety. 1 if 3 Sherman St.. Room 215. Denver. CO 80203. 11'vour <br /> records indicate these documents and fees have already been submitted. please notifN the Dig ision. <br /> If'Nou Ime additional comments and/or infin-nr<uion that should be provided to the Division. please provide <br /> it below or attach it to this lorm along with your M'ittcn report and map. Annual Report instructions are <br /> enclosed. Ifyou have any questions, please feel tree to contact Scottie Tate ((303) 866-3767 est 8166), <br /> Michelle Ramirez((303)866-3567 ext 81 14).or email dnr drmsminadntin(ci)state.co,us. Thank you for your <br /> cooperation in this matter. <br /> IF 'I 111•. ANNUAL F L SU13mri I AI S ARL M71 Rf:( I,I\'F.I> ON OR 131.FORf. YUtJfz <br /> ANNIVI:RSARY U,A"I I,. 11IF-. LNFORC'I \•II,Nl I'ROCLSS \\'ll,l. i\11Ii)`L1"IIC':11,1,Y 131. <br /> 1NffI.A'lH). I•:Nl-ORC'I.i\•II:N'I' ACIIONS MAY RI,SIIL'l li` t.'IVIL PENALTIFS AND/OR <br /> RLVOC'ATION OF YOUR 1'f-.RMIT1 <br />