REP47159

• Permit No: M1984134
• IBM Index Class Name: Report
• Doc Date: 6/15/1999
• Doc Name: 110C ANNUAL FEE INVOICE & REPORT REQUEST CONSTRUCITON MATERIALS OPERATION
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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DIVISION OF MINERALS AND GEOLOGY
Department of Natural Resources
1313 Sherman SL, Room 215
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
June Ol, 1999
Prowers County
109 E SHERMAN ST
LAMAR, CO 81052
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CONSTRUCTION MATERIALS OPERATION
PLEASE READ CAREFULLY
DIVISION O F
MINERALS
GEOLOGY
RECLAMATION
MINING•SAFETY
Bill Owens
Governor
Greq E. Wal<her
&eculrve Director
Michael B. LOng
Division Dueclor
ANNUAL FEES ARE NOT PERMIT RENEWAL FEES, they are fees for having a reclamat n permit in the
State of Colorado and are required by Colorado Statutes. You must pay these fees each year tit reclamation
responsibility release is granted. The fee listed below is for LAST YEARS mining and rectal anon season, and
MUST be paid even if your operation was in an inactive state. The fee is due ON OR BEFO E the permit
anniversary date shown below.
If you have requested reclamation responsibility release from the Division but your permit is n~t released by your
anniversary date listed below, [he annual fee MUST be paid. If the permit is released before [ e anniversary date,
please do no[ pay the annual fee.
PLEASE NOTE: IF THE ANNUAL FEE, ANNUAL REPORT, AND MAP ARE NOT
BEFORE THE ANNIVERSARY DATE, A FORMAL NOTICE OF VIOLATION, ANC
TO PAY CIVIL PENALTIES IN THE AMOUNT EQUAL TO THE ANNUAL FEE OF
AUTOMATICALLY ASSESSED. NO PERMITS FOR NEW MINING OPERATIONS
GRANTED TO ANY OPERATOR WHO [S CURRENTLY FOUND TO BE IN VIOLA
(C.R.S. 34-32.5-120) UNTIL THE VIOLATION IS ABATED.
Division records indicate $225.00 is due.
Penni[ No.
Operation Name:
Anniversary Date:
Total:

STATE OF
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CND
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M-84-134
Randy Shaw Pi[
August 31, 1999
$225.00 (Due on your
Anniversary Date)
If your records indicate different facts than those stated above please notify the Division
ON OR
)0 W Q.L BE
L BE
IN THIS STATE
Please return the enclosed annual report FORM, a MAP, and CHECK or MONEY ORDER m~de payable to the
Division of Minerals and Geology, 1313 Sherman Street, Room 215, Denver, Colorado 80203 Thank you for
your cooperation in this matter.
M.,UNRMLNIAS'IERD6N FF~N