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iii iiiiiiiiiiiiiiii, 999 STAT F n ~ r~r'1 t ~lR H ~I l~ • • November 30, 1992 Colorado Division of Highways 4340 E Louisiana Ave Denver, CO 80222 110(2) ANNUAL f EE INVOICE and REPORT REQUEST DIVISION OF MINERALS AND GEOLOGY Depanmenl of Natural Resources 131 1 Sherman 51., Room 215 Denver, LO 80203 D Phone: 1]0]1865-]567 D FAt: 13031 832-8106 PLEASE READ CAREFULLY Annual fees are not reclamation permit, release is granted. an inactive state. shown below. • • b: coo .\ ~~~ la J Flan F'.~~n~ar r.., .. ~.. ~. niich.~rl B. Lu n~ Givisiun Dnruur permit renewal fees, they are fees for having a valid and must be paid each year until reclamation responsibility The fee is for last year even if the mining operation was in It is due and payable ON OR BEFORE the permit anniversary date PLEASE NOTE: IF THE ANNUAL FEE, ANNUAL REPORT, AND MAP ARE NOT RECEIVED ON OR BEFORE THE ANNIVERSARY DATE, A FORMAL NOTICE OF VIOLATION, AND A BOARD ORDER TO PAY CIVIL PENALTIES IN THE AMOUNT EQUAL TO THE ANNUAL FEE OF $175.00 WILL BE AUTOMATICALLY ASSESSED. NO PERMITS FOR NEW MINING OPERATIONS SHALL BE GRANTED TO ANY OPERATOR WHO IS CURRENTLY FOUND TO BE IN VIOLATION IN THIS STATE (C.R.S. 34-32-120) UNTIL THE VIOLATION IS ABATED. Division records indicate $175.00 is due. Permit No. M-85-170 Operation Name: BLM Burnt Anniversary Date: 02/01/93 Annual Fees for the Year(s): 1993 Total: 5175.00 Shale Pit (Due on your Anniversary Date) If your records indicate different facts than those stated above please notify Barbara Chiappone, at the Division office, as soon as possible. Please return the enclosed annual report FORM, a MAP, and CHECK or MONEY ORDER made payable to the Division of Minerals and Geology, 1313 Sherman Street, Room 215, Denver, Colorado 80203. Thank you. Enclosures