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Return the enclosed Annual Rport FORM,a MAP,and a CHECK or MONEY ORDER madepayableIm <br /> Div"wu,af Zcdamaticm.Mimw god Safes l3I3 Stham=St_Raa=2L1 Mmur-W 80301 MAw- <br /> "mdmx=bhe tioc umem and 1<eas ti■ i�oe{r s t�t.���sslr�r 3 t <br /> If you have add-rtional comments and/or information that should be provided to theDivision,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 AUTOMATICALLY BE <br /> INITIATED. ENFORCEMENT ACTIONS MAY RESULT IN CIVIL PENALTIES AND/OR <br /> REVOCATION OF YOUR PERMIT. <br />