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Iketsniffie endmed A-.wA=1TyMgftF4M&&MAP aad a aches��c - <br /> ldiviisim d"Kedmu ioa.Waing and Safely- 1313gher�St-VAm 213 DawAx-CO=ON& X <br /> teM&infficate Slew d000eems and Fees lns.e aweadv <br /> If you have additional commers andlor information that should be provided to theDivision,pleasepeviae <br /> it below or attach it to this form along with your written report and map. Annual Report instrucftons 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 BE AUTOMATICALLY <br /> INITIATED. ENFORCEMENT ACTIONS MAY RESULT IN CIVIL PENALTIES AND/OR <br /> REVOCATION OF YOUR PERMIT. <br />