2004-12-28_REPORT - M1999069

• Permit No: M1999069
• IBM Index Class Name: REPORT
• Doc Date: 12/28/2004
• Doc Name: Annual Fee/Report/Map
• From: Jake Kauffman & Sons Inc.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

R - -'
STATE OF COLORADO
DIVISION OF MINERALS AND GEOLOGY
Department of Natural Resources
1313 Sherman SL, Roam 215
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
December 1, 2004
Jake Kauffman & Son, Inc.
808 SCR 9E
Loveland, CO 80537
DEC 0 3 2004
COLORADO
DIVISION OF
MIN&RALS
GEOLOGY
RECLh MATION•MIN ING
SNFETY•SCIEN<E
Bill Owens
Governor
Russell George
Executive Director
Ronald W. Cattany
Division Director
Natural Resourm Trustee
Under the terms of your Reclamation) Permit and Colorado Statutes, you must submit Annual Fees and Annual
Reports. You must pay the Annual Fee and submit an Annual Report each year until reclamation responsibility
release is granted. The Annual Fee is not a renewal fee. The fee and the report are for i,AST YEARS mining and
reclamation season, and MAST be received even if your operation was in an inactive state. The fee and report are
due ON OR RF.FORF. your permit anniversary date shown below.
If you have requested reclamation responsibility release from the Division of Minerals and Geology (the
"Division") but your permit is not released by your anniversary date listed below, the annual fee MTiST be paid. If
the permit is released before the anniversary date, then by Statute, you do not pay an annual fee or submit an
annual report for that year.
Pi.F.ASF. Nf1TF.e IF THE ANNUAL FEE, ANNUAL REPORT, AND A MAP ARE NOT RECEIVED ON QR
RF.FORF. YOUR ANNNERSARY DATE, A FORMAT NOTTC'F OF VTOT ATTON ANO A BOARD ORl)FR TO
PAY CTVTT PFNAT TTFS IN THE AMOUNT EQUAL TO THE ANNUAL FEE $ 688.00 WILL BE
ATITOMATTCAT T Y ASSESSED. NO PERMITS FOR NEW MINING OPERATIONS SHALL BE GRANTED
TO ANY OPERATOR WHO IS CURRENTLY FOUND TO BE IN VIOLATION IN THIS STATE (C.R.S. 34-
32.5-120 OR C.R.S. 34-32-120) UNTII, THE VIOLATION IS ABATED.
Division records indicate $ 688.00 feeds due
Permit No.: M-1999-069
Operation Name: Wagner/Kauffman Pit #3
Anniversary Date: January 5, 2005
Total Fee Due: $688.00 (Due on or before your Anniversary Date)
If your records indicate different facts than those stated above please notify the Division.
Please return the enclosed annual report FORM, a MAP, and a t'HF.C'K or MONFY ORDFR made payable to the
Division of Minerals and Geology, 1313 Sherman St., Room 215, Denver, Colorado 80203.
Thank you for your cooperation in this matter. If you have any questions, please feel free to contact
Tawnya Deherrera at [phone]..
Office of ~ Office of Colorado
Mined Land Reclamation Active and Inactive Mines Geological Survey