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STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <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 />March 1, 2005 <br />Phillips County <br />221 S.Interocean <br />Holyoke, CO 80734 <br />COLORADO <br />DIVISION O F <br />MINERALS <br />GEOLOGY <br />4EC LAMATION•NINING <br />EAFETY•SCIENCE <br />Bill Owens <br />Governor <br />Russell George <br />Executive Director <br />Ronald W. Cottony <br />Division Director <br />Natural Resource Trustee <br />Under the terms of your Reclamation Permit and Colorado Statutes, you must submit Annual Fees and Annual <br />Reports. You must pay the Annual Fee and submit an Annual Report each year until reclamation responsibility <br />release is granted. The Annual Fee is not a renewal fee. The fee and the report are for I.ACT YEARS mining <br />and reclamation season, and MLLST be received even if your operation was in an inactive state. The fee and <br />report are due DN (1R RAFDRF. yow permit anniversary date shown below. <br />If you have requested reclamation responsibility release from the Division of Minerals and Geology (the <br />"Division") but your permit is not released by your anniversary date listed below, the annual fee 1lZIIS-T be <br />paid. ff the permit is released before the anniversary date, then by Statute, you do not pay an annual fee or <br />submit an annual report for that year. <br />Pi.FACF. NnTF- IF THE ANNUAL FEE, ANNUAL REPORT, AND A MAP ARE NOT I2ECENED QLI <br />OR RRFORF YOUR ANNIVERSARY DATE, A FORMAT. NnTTCF. DF VTDT.ATT[1N AND A RDARD <br />ORDER TO PAY cTVTr. PFNAr.TTFR IN THE AMOUNT EQUAL TO THE ANNUAL FEE $281.00 WILL <br />BE ATrTOMATTCAT r.v ASSESSED. NO PERMITS FOR NEW MINING OPERATIONS SHALL BE <br />GRANTED TO ANY OPERATOR WHO IS CURRENTLY FOUND TO BE IN VIOLATION IN THIS <br />STATE (C.R.S. 34-32.5-120 OR C.R.S. 34-32-120) UNTIL THE VIOLATION IS ABATED. <br />Division records indicate $281.00 fee is due <br />Permit No.: M-1983-050 <br />Operation Name: State Land-Jensen Pit <br />Anniversary Date: Apri128, 2005 <br />Total Fee Due: $281.00 (Due on or before your Anniversary Date) <br />If your records indicate different facts than those stated above please notify the Division. <br />Please return the enclosed annual report FSZRNI, a MAP, and a CHECK or MDNFY t)RDF.R made payable to <br />the Division of Minerals and Geology, 1313 Sherman St., Room 215, Denver, Colorado 80203. <br />Thank you for your cooperation in this matter. <br />M:IPBI3ICIIEMASTFRD000MFNTSwf-AF-04 Office of Colorado <br />Mined Land Reclamation Active and Inactive Mines Genln¢iral Survey <br />