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Return the enclosed Annual Report FORM, a MAA. and a CHECK or MONEY ORDER made payable to: <br />Division of Reclamation, Mining and Safety, 1313 Sherman St., Room 315, Denver, CO 80203. If your <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 provide <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 feel free to contact Scottie Tate ((303) 866-3567 ext 8166), <br />Michelle Ramirez ((303) 866-3567 ext 8110, or email dnr drmsminadmin{a�state.co.us. Thant: you for your <br />cooperation in this matter. <br />IF THE ANNUAL FEE SUBMI'T'TALS ARE NOT RECEIVED ON OR BEFORE YOUR <br />ANNIVERSARY DATE, THE ENFORCEMENT PROCESS WILL AUTOMATICALLY BE <br />INITIATED. ENFORCEMENT ACTIONS MAY RESULT IN CIVIL PENALTIES ANDiOR <br />REVOCATION OF YOUR PERMIT, <br />