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9 <br />.--E--. <br />_spa <br />October 2, 201x1 <br />Mark Johnson <br />Bestway Concrete Company <br />301 Centennial Dr. <br />Milliken, CO 80543 <br />Nissen Farm Resource, Permit M-2003-001, Annual Fee Invoice and Report Request <br />PLEASE READ CAREFULLY—ACTION REQUIRED <br />Please attach your COMPLETED written Annual Retort and Annual Report Man 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 pen -nit 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-2003-001 <br />Operation Name: Nissen Farm Resource <br />Anniversary Date: November 21, 2017 <br />Total Fee Due: $791.00 (Due on or before your Anniversary Date) <br />1313 Sherman St. Room 215 Denver, Co 80203 P (303) 8663567 F <br />John W. Hickenlooper, Governor l Robert W. Randall, Executive Director l Virginia Brannon, Director <br />