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<br />Page 2 of 5 <br /> <br /> <br />Return the enclosed Annual Report FORM, a MAP, and a CHECK or MONEY ORDER 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 /> <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 writte n 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 8114), or email dnr_drmsminadmin@state.co.us. Thank you for your <br />cooperation in this matter. <br /> <br />IF THE ANNUAL FEE SUBMITTALS ARE NOT RECEIVED ON OR BEFORE YOUR <br />ANNIVERSARY DATE, THE ENFORCEMENT PROCESS WILL BE AUTOMATICALLY <br />INITIATED. ENFORCEMENT ACTIONS MAY RESULT IN CIVIL PENALTIES AND/OR <br />REVOCATION OF YOUR PERMIT.