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STATE COLORADO <br /> DIVISION OF MINERALS AND GEOLOGY <br /> Departmentof <br /> Depar <br /> tment of Natural Resources <br /> 1313 Sherman Room 215 <br /> Denver,Colorado 80203 Due Date aq <br /> Phone(303)866 3567 <br /> FAX:(303)832 8106 Document # "i <br /> ^ oo ay(� DEPARTMENT OF <br /> January 02, 1997 mdBy�r_Ext. Date � 1 RES UNAT�S <br /> Keys <br /> Mail_Mail with ure Retur o Dqt. Roy Romer <br /> Governor <br /> Weld County Authorized By CO 80632-0000 James 5.Lochhead <br /> Greeley, CO <br /> P O BOX 7 Executive Director <br /> Michael B.Long <br /> Division Duector <br /> 112c ANNUAL FEE INVOICE and REPORT REQUEST <br /> CONSTRUCTION MATERIALS OPERATION <br /> PLEASE READ CAREFULLY <br /> ANNUAL FEES ARE NOT PERMIT RENEWAL FEES, they are fees for having a reclamation <br /> permit in the State of Colorado and are required by Colorado Statutes. You must pay <br /> these fees each year until reclamation responsibility release is granted. The fee <br /> listed below is for LAST YEARS mining and reclamation season, and MUST be paid even <br /> if your operation was in an inactive state. The fee is due ON OR BEFORE the permit <br /> anniversary date shown below. <br /> If you have requested reclamation responsibility release from the Division but your <br /> permit is not released by your anniversary date listed below, the annual fee MUST be <br /> paid. If the permit is released before the anniversary date, please do not pay the <br /> annual fee, <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 $550. 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. 34-32.5-120) UNTIL THE VIOLATION IS ABATED. <br /> Division records indicate $550.00 is due. <br /> Permit No. M-78-210 <br /> Operation Name: Geisert Pit <br /> Anniversary Date: March 01, 1997 <br /> Total: $550.00 (Due on your Anniversary Date) <br /> If your records indicate different facts than those stated above please notify the <br /> 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 /> M-AF-01 <br />