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Pagel ot-5 <br /> Return the enclosed Annual Report FORM,a MAP,and a CHECK or MONEY ORDER made payableloc <br /> Divisioa e€�ec3aa�ia�>tiioi�eaod S�e�c 13l3 SLm�..Sit_��31i��ec��'ti. <br /> �asitee�aiso���a��re�vaa�E�t <br /> If you have additional comments and/or information that shouldbe 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_drmsminadmin@state.co.us. Thank you for your <br /> cooperation in this matter. <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. <br />