Laserfiche WebLink
P <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 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_drmsminadminr(i)state.co.us. Thank you for your <br /> cooperation in this matter. <br /> II IIII \\\l \1 10IfI i (W III IIWl \( rt K <br /> \\\ICI I:� \Itl f> 11 ! Ilil I \1 )RI I \11 \ I 11I\1ilt I AI Icr\t \II( \1 I 1 lit <br /> I\III \ I 1 I) I \1 11 1 t \11 \ \t I1+ t\" \1 \) \1 111 5 1N1> t r1t <br />