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<br />COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT <br />WQCD 2000 700 COR040208 000012800 5/24/2004 700015099 ~ n'~ <br />COLORADO STORMWATER DISCHARGE PERMIT SYSTEM INVOICE: 700015099 <br />ATTN: David L. Buclrnam <br />Colorado Div of Minerals & Geology <br />1313 Sherman Street, Rm 215 <br />Denver CO 80203 <br />PLEASE MAKE ANY ADDRESS <br />CORRECTIONS ON REVERSE <br />AMOUNT DUE: <br />$128.00 <br />RECEIVED <br />JUN 08 2004 <br />DETACH AND RETURN TOP PORTION WITH PAYMENT <br />DNision of Alinerals & Geology <br />NOTE: FAII.URE TO RETURN TOP PORTION OF INVOICE WITH EXACT PAYMENT MAY RESULT IMP <br />IN A POSTING DELAY OR IN THE IMPROPER CRIDTTING OF YOUR ACCOUNT. <br />STATEMENT OF ANNUAL FEES <br />COLORADO STORMWATER DISCHARGE PERMIT SYSTEM <br />BILLING DATE: 5/24/2004 INVOICE NUMBER: 700015099 <br />BILLING PERIOD:. July Ol, 2004 to Juue 30, 2005 DUE DATE: 07/31/2004 <br />FEES CHARGED <br />PERMIT # COR040208 <br />Type: Inactive mineral mines - SW only /General Permits (07/14) <br />$128.00 <br />County: Pitkin <br />Name of Site: Coal Basin Sediment Pond Reclam. <br />David L. Bucknam ~ i Si~ <br />Colorado Div of Minerals & Geology <br />1313 Sherman Street, Rm 215 ~ ~~~ <br />Denver CO 80203 ~ I ~ <br />TOTAL CURRENT CHARGES: GI ~ '~o"~ $128.00 <br />COMMENTS: ~-8~~~~ <br />To assure proper credit, please include the permit number on your check and return the top portion ofthis invoice with <br />your check. <br />MAKE CHECK COLORADO DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT <br />PAYABLE and 4300 Cherry Creek Drive South <br />RETURN Mail Code ASD-AR-BI <br />PAYMENT TO> DENVER, CO 80246.1530 <br />INQUIRIES: (303) 692-3616 <br />