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COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT <br />W4CD 2000 707 00000000204 8 RRB 000010600 08211999 707001036 <br />FOR NAME AND ADDRESS CHANGES, <br />FOLLOW INSTRUCTIONS 9ELOW OR <br />CONTACT THE STATE OFFICE. <br />COLORADO DIV. OF MINERALS & GEOLOGY <br />ATTN: BUCKNAM, DAVID L. <br />RM 215 <br />1313 SHERMAN ST <br />L DENVER, CO 80203 J <br />AMOUNT DUE: $106.00 <br />~~~~ <br />Tr , ~, <br />o '~ ~~~~ . <br />o -~- 99 <br />~~aG~ <br /> <br />DETACH AND RETURN TOP PORTION WITH PAYMENT <br />NOTE: FAILURE TO RETURN TOP PORTION OF INVOICE WITH EXACT PAYMENT WILL RESULT IN A DELAY <br />OF CREDITING YOUR ACCOUNT AND MAY RESULT IN IMPROPERLY CREDITING YOUR ACCOUNT. <br />WATER QUALITY CONTROL DIVISION <br />PERMIT/~: COR-040204 <br />COUNTY: PITKIN <br />FACILITY <br />TYPE: ACTIVE METAL MINE LESS THAN 10 AC. <br />REF~~: 2000707 204-8 <br />COLORADO DIV. OF MINERALS & GEOLOGY <br />ATTN: BUCKNAM, DAVID L. <br />RM 215 <br />1313 SHERMAN ST <br />DENVER, CO 80203 <br />NAME OF SITE: COAL BASIN RECLAIM. CONS. PROJECTS <br />RECrrv~~ <br />SEP ~ 1 1999 <br />Division of Mi+~ B G~9 <br />FEES CHARGED: AMOUNT <br />ANNUAL FEE: JUL. 1, 1999 THRU 0, 0000 $53.00 <br />ANNUAL FEE: JAN. 1, 1900 THRU JUN, 30, 1900 $53.00 <br />TOTAL CHARGES DUI; 9/20/99 $106.00 <br />i.. <br />IF THE ADDRESS INFORMATION ABOVE IS NOT CORRECT, PLEASE PROVIDE THE CORRECT <br />INFORMATION BY SEPARATE LETTER TO THE STORMWATER PERMITS GROUP. MA I1. <br />CORRESPONDENCE T0: CDPHE-WQCD-PE-B230; 4300 CHERRY CREEK DRIVE SCUi'H; <br />DENVER, CO 80222-1530 <br />,t t< <br />ADDRESS CHANGES NOTED ON THIS FORM ARE NOT ROUTED FOP. [iPDATE PROCESSING. <br />t: ,~ <br />TO ASSURE PROPER CREDIT, PLEASE INCLUDE THE PERMIT NUMBER ON YOUR CHECK, <br />AND RETURN THE TOP PORTION OF THIS INVOICE WITH YOUR CHECK IN THE ENVELOPE <br />ENCLOSED. MAIL PAYMENT T0: CDPHE; DEPT 436; DENVER, CO 80281-0436 <br />MAKE CHECK <br />P AVABlE TOE COLORADO DEPARTMENT bF HEALTH COAL BASIN RECLAIM. CONS. PROJECTS <br />INQUIRIES ~ WQCD - STORMWATER METAL MINING 2000 707 0000000204 8 RRB <br />PHONE it ~ (303) 692-3503 000010600 08211999 707001036 <br />K'J <br />