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COLORADO <br /> Division of Reclamation, F Co <br /> AMW Mining and Safety �w o toy. <br /> �� <br /> Department of Natural Resources 0, <br /> 1313 Sherman St. Room 215 ** n ~** <br /> Denver, CO 80203 1876 <br /> February 20,2019 <br /> MR GARY W POLLACK <br /> GARY W POLLACK <br /> P.O.BOX 6063 <br /> COLORADO SPRINGS,CO 80934 <br /> Annual Fee,Report,and Map Due <br /> Under the terms of your NOI or Permit and Colorado Statutes,you must submit an Annual Fee and Annual <br /> Report(including a map).You must pay the Annual Fee and submit an Annual Report each year until <br /> reclamation responsibility release is granted. The Annual Fee is not a renewal fee.The Fee and Report are for <br /> last year's exploration or mining and reclamation season,and must be paid even if your operation was inactive. <br /> If you have requested reclamation responsibility release from the Division of Reclamation,Mining and Safety <br /> ("Division")but release has not been granted by the anniversary date listed below,the Annual Fee,Report and <br /> Map must be submitted. If the permit is released before the anniversary date,then by Statute,it is not necessary <br /> to pay an Annual Fee or submit an Annual Report for that year.The annual fee,report,and map are due on or <br /> before the Anniversary Date for the following operation: <br /> Permit: M2017046 <br /> ePermit Number: 327431 <br /> Operation Name: Q-2 <br /> Anniversary Date: 03/22/19 <br /> Total Fee Due: $172.00 <br /> As of January 1,2018,all annual reports,maps and fees must be filed electronically.If you have not yet set up <br /> your ePermitting account,click on the link below to get started: <br /> http://ininin--.state.co.us/Pages/ePermittinQ.aspx <br /> If you have already established your ePermitting account,click on the link below to file your report,upload <br /> your map,and pay your fee online now. <br /> https://dm-forms.state.co.us/Forms/DRMSeForms Landing <br /> If you need additional information or have any questions,please contact Elliott Russell at the Division of <br /> Reclamation,Mining and Safety, 1313 Sherman Street,Room 215,Denver,CO 80203,by telephone at(303) <br /> 866-3567 x8132,or by email at elliott.russellnstate.co.us. <br /> �4 OF© t0'� <br /> 1313 Sherman Street, Room 215, Denver, CO 80203 P 303.866.3567 F 303.832.8106 http://mining.state.co.us I * o <br /> Jared S. Polis, Governor I Dan Gibbs, Executive Director I Virginia Brannon, Director <br /> *IR 7ri <br />