Laserfiche WebLink
COLORADO <br />Division of Reclamation, <br />Mining and Safety <br />Dwartmem d SWUP,41 Rxsauces <br />1313 Sherman 5t. Room 215 <br />Denver. CO 86103 <br />June 1, 2017 <br />Adam Schultejann <br />120 85 LLC <br />10925 East 120th Avenue <br />I lenderson. CO 806.30 <br />120th Estates Partners. Permit M»2001-085. Annual Fee Involve and Report Request <br />PLEASE READ CAREFULLY -- ACTION REQUIRED <br />Phase attach vou.r COMPLETED written Annual Report and Annual Report Ma]) to this form <br />Under the kris 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 responsibiluy release is granted. The Annual Pcc u nota renewal fee. The Fecund Report <br />are for LAST YEAR'S mining and reclamation season, and MUST be paid even if your operrtion teas <br />-nactive. <br />The Annual Report and Fee requirement will be considered submitted when we have received the <br />following components: <br />1. APPROPRIATE ANNUAL t -LE <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 rcicascd 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 5791.00 fee is due for the following; <br />Permit: M-2001-085 <br />Operation Name: 120th) stales Partners <br />Anniversary Date: July 25, 2017 <br />Total Fee Due: $791.00 (Due on or before your Anniversary Date) <br />c <br />1313 Shaman St. Room 215 Drover, Co 30701 P (303) 866-3587 F 1"4- <br />John <br />"4-John W, kkkentooper Governor Robert W. Randall, Executive Director i Virginia Brannon. Director +�# t �,p,•F# <br />?azra' <br />