Laserfiche WebLink
Page 2 of S <br /> .Return the enclosed Annual Rer)ort 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;.our <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 provice <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 fee} free to contact Scottie"fate((303) 866-3567 ett 8166), <br /> IMichelle Ramirec((303)866-3567 ett 8114),or email dnr clmtsminadmintt;state.co,ras. Thank you for your <br /> cooperation in this matter. <br /> IF THE A',`,,'U'A., F1=;1; :SU13%,11"1 Ti1d-'.� ARi; N;01' RL:CC IVED ON OR BEFORE VOI_R <br /> ,At 1;'L}i' DATE, THLE, 1-;+v1FORCHIMI NT PROCESS 11'ON41 TIC.:r1L1.Y <br /> INIFFI ATF1; ENFORC;1 MIt N 1 ACTfONS %1AY RKISULT IN, C'Wll, t''1:NAJ.TIFS AND OR <br /> of- Yomt Pi?,,., 1if. <br /> i <br /> t <br />