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STATE OF COLORADO <br /> DIVISION OF MINERALS AND GEOLOGY <br /> of <br /> Department of Natural Resources <br /> 1313 Sherman St., Room 215 <br /> Denver,Colorado 80203 <br /> Phone:(303)866-3567 <br /> FAX:(303)832-8106 <br /> DEPARTMENT OF <br /> April 1 , 1994 NATUPAL <br /> RESO <br /> Roy Romer <br /> Nelson Construction Inc Govemor <br /> 468 S Dudley St Ken Salazar <br /> Lakewood, CO 80226 [x,,.Jrve Dweclor <br /> nechael B.Long <br /> Dieisimi Duecior <br /> 110(2) ANNUAL FEE INVOICE and REPORT REQUEST <br /> PLEASE READ CAREFULLY <br /> Annual fees are not permit renewal fees, they are fees for having a valid <br /> reclamation permit, and must be paid each year until reclamation responsibility <br /> release is granted. If you have requested reclamation release from the Division <br /> but your permit is not terminated by your anniversary date listed below the annual <br /> • fee must be paid. If the Division does release this permit before the anniversary <br /> date please do not pay this fee. <br /> The fee is for LAST YEARS mining and reclamation season, and MUST be paid even if <br /> the mine was in an inactive state. It is due and payable ON OR BEFORE the permit <br /> anniversary date shown below. <br /> PLEASE NOTE: IF THE ANNUAL FEE, ANNUAL REPORT, AND MAP ARE NOT RECEIVED ON OR <br /> BEFORE THE ANNIVERSARY DATE, A FORMAL NOTICE OF VIOLATION, AND A BOARD ORDER TO PAY <br /> CIVIL PENALTIES IN THE AMOUNT EQUAL TO THE ANNUAL FEE OF $225.00 WILL BE <br /> AUTOMATICALLY ASSESSED. NO PERMITS FOR NEW MINING- OPERATIONS SHALL BE GRANTED TO <br /> ANY OPERATOR WHO IS CURRENTLY FOUND TO BE IN VIOLATION IN THIS STATE <br /> (C.R.S. 34-32-120) UNTIL THE VIOLATION IS ABATED. <br /> Division records indicate $225.00 is due. <br /> Permit No. : M-78-208 <br /> Operation Name: Shaffers Crossing` <br /> Anniversary Date: 06/16/94 <br /> Annual Fees for the Year(s) : 1994 <br /> Total : $225.00 (Due on your Anniversary Date) <br /> If your records indicate different facts than those stated above please notify <br /> Barbara Chiappone at the Division office. <br /> • Please return the enclosed annual report FORM, a MAP, and CHECK or MONEY ORDER made <br /> payable. to the Division of Minerals and Geology, 1313 Sherman Street, Room 215, <br /> Denver, Colorado 80203. Thank you for your cooperation in this matter. <br />