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4 <br />1 <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Deparlmenl o(Naiural Resources <br />1313 Sherman St.. Room 215 <br />Dem•er, Colorado A0203 <br />Phone. (3031 866-3567 <br />FAX: (303) A32-8106 <br />October I, 2001 <br />Sedgwick County <br />223 S. Cedar <br />Julesburg, CO 80737 <br />~~~ T~ <br />NO`? <br />Division of Minerals and Grolog~; <br />~~ <br />DIVISION OF <br />MINERALS <br />GEOLOGY <br />RECLAMATION <br />MINING•SAFETY <br />ern o.+•ens <br />Governor <br />Greg E. Walther <br />Executive Direclor <br />M¢hze18 Long <br />Division Direclor <br />MINED LAND RECLAMATION BOARD <br />110c ANNUAL FEE INVOICE AND REPORT REQUEST <br />PLEASE READ CAREFULLY <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 LAST YEARS mining <br />and reclamation season, and MUST be received even if your operation was in an inactive state. The fee and <br />report are due ON OR BEFORE your 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 MUST be <br />paid. If 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 />PLEASE NOTE: IF THE ANNUAL FEE, ANNUAL REPORT, AND A MAP ARE NOT RECEIVED ON <br />OR BEFORE YOUR ANNIVERSARY DATE. A FORMAL NOTICE OF VIOLATION AND A BOARD <br />ORDER TO PAY CIVIL PENALTIES IN THE AMOUNT EQUAL TO THE ANNUAL FEE $281.00 WILL <br />BE AUTOMATICALLY ASSESSED. NO PERMITS FOR NEW MINING OPERATIONS SHALL BE <br />GRANTED TO ANY OPERATOR WHO IS CURRENTLY FOUND TO BE 1N VIOLATION IN TH[S <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-1996-073 <br />Operation Name: Dolezal Gravel Pit <br />Anniversary Date: November 8, 2001 <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 FORM, a MAP, and a CHECK or MONEY ORDER 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 />~1.1PERAlITN1A5TERD000AI ENTSNI-AF-OI <br />