2017-09-19_REPORT - M1987072 - Laserfiche WebLink

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C O L O R A D O RECEIVED Division of Reclamation, Mining and Safety Department of Natural Resources SEP 19 2011 1313 Sherman St. Room 215 W.ISION OF RECLAMATION, Denver, CO 80203 MINING AND SAFETY August 1, 2017 Thomas Musch Thomas Musch and Valerie Musch 514 Americas Way#3773 Box Elder,SD 57719 Lee No 2 Placer,Permit M-1987-072,Annual Fee Invoice and Report Request PLEASE READ CAREFULLY—ACTION REQUIRED Please attach vour COMPLETED written Annual Report and Annual Report Map to this form Under the terms of your Reclamation Permit and Colorado Statutes, you must submit an Annual Fee and Annual Report(including a map). You must pay the Annual Fee and submit an Annual Report each year until reclamation responsibility release is granted. The Annual Fee is not a renewal fee. The Fee and Report are for LAST YEAR'S mining and reclamation season, and MUST be paid even if your operation was inactive. The Annual Report and Fee requirement will be considered submitted when we have received the following components: 1. APPROPRIATE ANNUAL FEE 2. COMPLETED ANNUAL REPORT 3. ASSOCIATED MAP as required by rule If you have requested reclamation responsibility release from the Division of Reclamation, Mining and Safety(the"Division")but your permit is not released by the anniversary date listed below,the Annual Fee MUST be paid. If the permit is released before the anniversary date,then by Statute, it is not necessary to pay an Annual Fee or submit an Annual Report for that year. Division records indicate the $259.00 fee is due for the following: Permit: M-1987-072 Operation Name: Lee No 2 Placer Anniversary Date: September 26,2017 Total Fee Due: $259.00(Due on or before your Anniversary Date) of.cow. e 1313 Sherman St. Room 215 Denver, CO 80203 P(303)866-3567 F John W. Hickenlooper, Governor I Robert W. Randall, Executive Director I Virginia Brannon. Director * r� '_1876