2018-07-23_REPORT - M2001085

• Permit No: M2001085
• IBM Index Class Name: REPORT
• Doc Date: 7/23/2018
• Doc Name: Returned Annual Fee/Report
• From: DRMS
• To: Adam Schultejann
• Email Name: JLE
• Media Type: D
• Archive: No

• COLORADO
Division of Reclamation,
Mining and Safety
Department of Natural Resources RECEIVE11
1313 Sherman St.Room 215 Denver,CO80203 JUL 18 ?QF}
8
OMON OF RECLAMAyM
MWING ANp SA M
June 25,2018
Adam Schultejann
120 85 LLC
10925 East 120th Avenue
Henderson,CO 80640
Annual Fee,Report-and-Man Due=-- — - — -- — - - -
Under the terms of your Reclamation Permit and Colorado Statutes, you must submit an
Annual Fee and Annual Report(including a map). You must pay the Annual Fee and submit
an Annual Report each year until reclamation responsibility release is granted. The Annual
Fee is not a renewal fee. The Fee and Report are for last year's exploration or mining and
reclamation season,and must be paid even if your operation was inactive.
If you have requested reclamation responsibility release from the Division of Reclamation,
Mining and Safety("Division")but release has not been granted by the anniversary date listed
below, the Annual Fee, Report and Map must be submitted. If the permit is released before
the anniversary date, then by Statute, it is not necessary to pay an Annual Fee or submit an
Annual Report for that year. The annual fee, report, and map are due on or before the
Anniversary Date for the following operation:
Permit: M-2001-085
Operation Name: 120th Estates Partners
Anniversary Date: July 25,2018
Total Fee Due: $791.00(Due on or before your anniversary date)
--aa—,- letzz rrurual fi� ubinrt►1 is-rbt-r ' cferyotaxnivarsazry date,the
enforcement process will be initiated. Enforcement actions may result in civil penalties and
possible revocation of your permit.
Effective January 1,2018,all annual report,map, and fees must be submitted
electronically,using the Division's ePermitting system.
To file your report,upload your map, and pay your fee online now, go to the link below:
hgps:Hdnrfonns.state.co.us/Forms/DRMSeForms LandingPage
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OF'CO!
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1313 Sherman St.Room 215 Denver,CO 80203 P(303)866-3567 F
John W.Hickenlooper,Governor I Robert W.Randall,Executive Director I Virginia Brannon,Director * *
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