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Submission Cpmpleted https:Hdnrforms.state.co.us/Forms/Form/showformsubmission/feb56e4b... <br /> Annual Fee Payment <br /> Payment Confirmation Number* (?) <br /> 118077562 <br /> Signature <br /> Submittal Date <br /> 8/28/2019 <br /> I, the undersigned, hereby state that the information provided in this report is true and accurate, <br /> and that site operations are being conducted in accordance with the Division approved mining and <br /> reclamation plans. <br /> I Agree <br /> If you do not see the "Submit" button after completing your report, try to un-check and then re-check the "I Agree" box. <br /> Previous <br /> 10 of 10 8/28/2019, 11:27 AM <br />