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STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />t)PW rtmt•nl Ut ha:Wdl RpXIUfCIY <br />1313 ~hvrman St., Runm 27 i C O L O R A D O <br />farmer. G,laarb B020J <br />fM,ixfe: 0031 Bb(r3567 n I V t t EI n N o f <br />R A L 1 <br />MIN 6 <br />FAX: 0071832-B ll)6 <br />//~~ 1 <br />MIS <br /> <br />~•U ,E <br />_ /y <br />_`I ~ f11.. <br />~UtJ^ I~ c <br />G E O L O G Y <br />llh AnAflOh•PINIhG <br />SAr11V.3[IIhCf <br /> ' Wto~' ~ F/lu~ B~~ <br /> ho~+ B,IIf>wrm <br />\1A_t• I. 2(10(t carmen <br /> <br />' ~~ RuaMll Geo~r <br />Ills (ialll'gUn (. <br />Url)/II:7l1Un <br />' <br />~ f / ~ ~,~Q~ / <br />„ <br />' <br />/ <br />/ E.eaunr.• Drrnctuf <br />.O.13or821 <br />I ~ <br />' f <br />V <br />/ <br />/ RorultlW.CA1t~rY <br />\ai{,( () SIG>~ Y Dhnlrn EJvn fur <br /> <br />~II\h' <br />U 1. \\U kt'(1 <br />\\I 1 I' <br />1OV RO \RU \etuul Rrrxm r in~abr <br />110c \\\l \I. I PF I\\ ()I(' E' .\~ ~j~j!(~f_)~;ijlF:~l <br />I'LI..\11'. kL..\U C::\KC1 LLl_Y <br />l'ndcr the terms of your Rcclam;lhon I'clmn and ('olurado 1laurtcs, you must +uhnm :\nr.u.I' I rr..urd .\nnual <br />Rclwrts. 1'ou mull pay the .\nnual Pee and nubnut an :\nnual Report each year anal recl:unauon Ir>punslhihty <br />rclca>c 1: crantcd. 1 he Annual Pcc is not a rrncwal tcc•, 'Ihc fee and the rclwrt are Ibr I ,\tiT ll?.\H5 nunmg and <br />reelamauon ;canon, and .l{LI5 L he recei3'cd even If your u3xrution wns in an macUce statr 1 hr ire and report arc <br />due O\ OR 131:1?ORI: your pennrt anni3rrsary datr shuWn brloW. <br />If you hair rcyuested reclam:uiun respons:htluy release t:•om the Ihv;>uul ul' \1uu•ralti .rnd f ku~ogy Ithc <br />"Dlvlsum"1 but your pctmn is not relr<ISCd by your annnrrsary date hstcd txlo3c. the annual tee 111 ti,l. he paid. If <br />the pern)it IS released before the anniccnary date, then by Stututa you du nut pay an annual Ice or nuhmit on <br />annual npurt Inc that year. <br />P3_I?,AtiF \O1'P_ II I Ills :AANCAI. PIL. AV'NIIAI. R1 1'OR1.:AND :A AI:AP :ARli SOT RPl I'IVP-(7 OV OR <br />131(1 OKI: 1'(>l ' R :\ V 11' I \' I • R1:\ R 1' I ):111:.:\ t•1)1i:11:\Li~1L21.1('L• -OL• ~'1ill..•111(LLdVU~ 1311~11tU (11ZUl.li1'(1 <br />1'.11' ia1'll. I'E\:11.111:5 l\' 1111: :\~1C)l \I I.(1l'AI. 1'O Illf :\\Xl::\I- Pta~. S '~I,ull \1'll l lili <br />:\l. 1'Oh1ATIl:ALL.Y AS11.111{U \(> I'1[R\1111 PUR NI:W \91?1`IN(i OPLRr1ilOV5111,\I I. 131: GRAV1fD <br />IO:\\1' UI'I I?4!131? `\`!!l3 11 ('II!?RPK7! 1' I'ltl'\13 ft? I?!i I\ \'!(>l:\7!(3V !\ -1)111 SI',111i IE'.R.1. 3~7- <br />32.i-120 UI( (' R 1 t:J-3?-I'u) I \ 111 I III{ 1'IE)I-A 11ON IS :\li.\ 11.1 ). <br />I)I\Ia:Ull rccunls mdlcatr.• ~ 281.00 tee uduc <br />I'crnnt Nu.: ;;\1-I')9~-022 <br />Uprrauon Kame: ('onger Ilanesting Area <br />:\nnnrnar3' I)atc: lone 5, ?11116 <br />ot:d Pre Ihlc: 5281.001 Uuc on or tx ti)rc your Annn'ersary Uate) <br />II'yuur record, indicate different facto than thonr slated ahoy please notify the I)I t'I51(1I1. <br />Please return the cncloud annual report POR\1. n h1:\t', and a C1LE(:K ur S10\Ll'S1R1)lili made payable to the <br />l)ni>iun of Minerals and Geology. I i13 11u•rnlan St.. IZuom 21?. Urncrr. ('uloradu 80'_(x3. <br />Thank you lifr your coopcrauun m this matter. It' you have any yucuions, please feel Gcc to contact Michelle <br />Kamirct ut (303) SGG~UGO. <br />1 r,i~, ~ t <br />( 1'1 is ~ ul <br />111iv^ and IndcAer hbr•...a <br />.,~~_r.~,r, <br />(~radrµual ~u.~,..+' <br />