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RECEIVED <br /> COLORADO JUL 052017 <br /> Division of Reclamation, <br /> Mining and Safety OF RECLAMATION, <br /> I Department of Natural Resources :3Ar=ET`(-MINERALS <br /> 1313 Sherman St. Room 215 `t ',EPQRT MAP <br /> Denver,CO 80203 ( UJ CC <br /> May 1,2017 L v <br /> Stacy L.Quick <br /> Cross Mountain Ranch Ltd.Partnership <br /> P.O.Box 897 <br /> Craig,CO 81626-0897 v <br /> Kagie Gravel Pit,Permit M-1979-102,Annual Fee Invoice and Report Request <br /> PLEASE READ CAREFULLY—ACTION REQUIRED <br /> Please attach vour COMPLETED written Annual Report and Annual Report Man 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 /> following components: <br /> 1. APPROPRIATE ANNUAL FEE ` t „1� <br /> 2. COMPLETED ANNUAL REPORT �(� lU <br /> 3. ASSOCIATED MAP as required by rule <br /> If you have requested reclamation responsibility release from the Division of Reclamation, Mining and <br /> Safety ("Division") but your permit is not released by the anniversary date listed below, the Annual Fee <br /> MUST be paid. If the pen-nit 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$323.00 fee is due for the following: <br /> Permit: M-1979-102 <br /> Operation Name: Kagie Gravel Pit <br /> Anniversary Date: June 21,2017 <br /> Total Fee Due: $323.00(Due on or before your Anniversary Date) <br /> oip coy <br /> . <br /> 1313 Sherman St.Room 215 Denver.CO 80203 P(303)866-3567 F <br /> John W.Hickenlooper,Governor I Robert W. Randall,Executive Director i Virginia Brannon,Director <br /> 1876', <br />