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Page 2 of 5 <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 /> 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 4nd 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(u�state.co.us. Thank you for your <br /> cooperation in this matter. <br /> IF THE AI�1'dLi. L FEE S tF;;idITTTALS ARE N ?T PE-EIVED ON OR BEFORE YOUR <br /> ANNIVER SAPY D/-,Tc, T HE ENFORCEMENT PPCtCESS WILL BE AUTOM.4TIC&LL -' <br /> 11,IITJ!"TED, ---NF'JRCEMEI,'T ACTIONS Ivi�" F:ES�ILT fN CI-VTi_, PEly ",,.L.TIES AINTD/OR <br /> RFVOC'ATIC)-N OF `_'=>:_iF; PEF1N/I T. <br />