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DNR COLORADO <br /> CO f Division of Reclamation, <br /> Mining and Safety <br /> DE•pattment of Nato'&Resources <br /> 1313 Sherman St. Room 215 <br /> Denver,CO 80203 <br /> September 1,2017 <br /> Jason Burkey <br /> Oldcastle SW Group,Inc.dba United Companies of Mesa County <br /> 2273 River Road <br /> Grand Junction,CO 81502 <br /> Mamm Creek Sand&Gravel,Permit M-2000-113,Annual Fee Invoice and Report Request <br /> PLEASE READ CAREFULLY—ACTION REQUIRED <br /> Please attach'sour COMPLETED written Annual Report and Annual Report Map to this form <br /> Under the terms of your Reclamation Permit and Colorado Statutes, you must submit an Annual Fee and <br /> Annual Report (including a map). You must pay the Annual Fee and submit an Annual Report each year <br /> until reclamation responsibility release is granted. The Annual Fee is not a renewal fee. The Fee and Report <br /> are for LAST YEAR'S mining and reclamation season, and MUST be paid even if your operation was <br /> inactive. <br /> The Annual Report and Fee requirement will be considered submitted when we have received the <br /> following components: <br /> 1. APPROPRIATE ANNUAL FEE <br /> 2. COMPLETED ANNUAL REPORT <br /> 3. ASSOCIATED MAP as required by rule <br /> If you have requested reclamation responsibility release from the Division of Reclamation, Mining and <br /> Safety ("Division") but your permit is not released by the anniversary date listed below, the Annual Fee <br /> MUST be paid. If the permit is released before the anniversary date,then by Statute,it is not necessary to <br /> pay an Annual Fee or submit an Annual Report for that year. <br /> Division records indicate the$791.00 fee is due for the following: <br /> Permit: M-2000-113 <br /> Operation Name: Mamm Creek Sand&Gravel <br /> Anniversary Date: October 29,2017 <br /> Total Fee Due: $791.00(Due on or before your Anniversary Date) <br /> ai_co� <br /> 1313 Sherman St. Room 215 Denver, CO 80203 P(303)866-3567 F ( IIN -:' o <br /> John W. Hickenlooper,Governor I Robert W. Randall, Executive Director I Virginia Brannon, Director `74\:'•,,;,-:7,4.* <br /> 1876,;,, <br />