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A7COLORADO <br /> Division of Reclama+ion� <br /> Mining and Safety <br /> 1313 SN,r--,)Ai�St, koom 2!5 <br /> Dervor, CC 80203 <br /> March 1,2017 <br /> Daniel J.Gaudreault <br /> Daniel J.Gaudreault and Barbara J.Gaudreault <br /> P.O. Box 69 <br /> Elizabeth,CO 80107 <br /> Big"G"Gravel Pit,Permit M-2006-081,Annual Fee Invoice and Report Request <br /> PLEASE READ CAREFUL Y-ACTION REQUIRED <br /> I'lease attach sour COMPLETED w ritten Annual Report and Annual Report Map to this form <br /> Under the terms of your Reclamation Permit and Colorado Statutes, you must submit an Annual Fee and <br /> Annual Report (including a map). You must pay the Annual Fee and submit an Annual Report each year <br /> until reclamation responsibility release is granted. The Annual Fee is not a renewal fee. The Fee and Report <br /> are for LAST YEAR'S mining and reclamation season, and MUST be paid even if your operation was <br /> inactive. <br /> The Annual Report and Fee requirement will be considered submitted when we have received the <br /> folloii ing components: <br /> 1. APPROPRIATE ANNUAL FEE <br /> 2. COMPLETED ANNUAL REPORT <br /> 3, ASSOCIATED MAP as required by rule <br /> If you have requested reclamation responsibility release from the Division of Reclamation, Mining and <br /> I -- <br /> Safety ("DNision-) but your permit is not released by the anniversary date listed below, the Annual Fee <br /> MUST be paid. If the permit is released before the anniversary date,then by Statute, it is not necessary to <br /> pay an Annual Fee or submit an Annual Report for that year. <br /> Division records indicate the S79 1.00 fee is due for the following: <br /> NMI& M-2006-081 <br /> Operation Name: Big"G"Gravel Pit <br /> Anniversary Date: April 24,2017 <br /> Total Fee Due: $79 1.00(Due on or before your Anniversary Date) <br /> —t�Ay W"Jjc' A <br /> )(8( Sc <br /> 131 s�h�,rr,ir at R,)vm Z15 Denver, CO 80201 <br /> -0'-oVV' Hickert'.')OPer, �"tqvrror Roos,-W, Rand,)U, E.c�colrve Ne--tnr I vrgim,'%Brlmor DirpCtor <br />