Laserfiche WebLink
1 , • • <br />112 Annual Fee Letter <br />Paae 2 <br />5) The type and approximate quantity of fertilizers, organic material, <br />or soil conditioners used and location of use, <br />6) An appraisal of the success of reclamation efforts, and in the event <br />of failure of any efforts, a short narrative on the suspected or determined <br />causes of such failure, <br />7) Estimates of the location and number of acres to be affected in the <br />coming year, and <br />8) The effective date of the information provided above shall be no <br />more than 45 days prior to the anniversary date. <br />Please complete and return the enclosed form with your annual report and <br />fees. If you have any questions concerning the annual report or fees, please <br />direct your questions to Kim or Barb. Thank you. <br />Please ignore this notice if you have already forwarded your remittance and <br />report to us. <br />Enclosure <br />(Rev. 10/86) <br />5257E <br />MINED LAND RECLAMATION DIV. ~N ~f ~ 0 0 8 517 <br />1313 Sherman, Room 423 <br />Denver, Colorado 60103 p'~ <br />DATE ~ ~ `~ ~-99 <br />2! <br />( 3) 866-3567 ._ <br />n <br />f <br />/ <br />„ <br />n <br />RECEIVED FROM U <br />` <br />' <br />~-`^ <br />~ <br />~ <br />' 0 } <br />~ <br />~ O <br />~ <br />THE SUM OF S <br />DOLLARS $ ~ ~/ ~ <br /> <br />]~II <br />(/ ~ <br />~ ^ <br />~ 1 ` ~ ~ CHECK <br />/ ~/ L <br />_ <br />_~ <br />^ ~ <br />( <br />r <br />FOR <br />"y , \ <br />,~ lJ~~ / <br />IJ r J r rn.o. <br />( <br />- <br />. <br />^ <br />AMOUNT OF ACCOUNT...... $ <br />an ul <br />AMDUNT PAID ................ $ <br />BALANCE DUE ............... $ BY <br /> <br />,~ <br />U <br />