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STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman SL, Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 <br />Apill 1, 2002 <br />Lincoln County <br />P.O. Box 39 <br />Hugo, CO 80821 <br />MINED LAND RECLAMATION BOARD <br />110c ANNUAL FEE INVOICE AND REPORT REpUEST <br />PLEASE READ CAREFULLY <br />DIVISION O F <br />MINERALS <br />GEOLOGY <br />RECLAMATION <br />MINING•SAFETY <br />Bill Owens <br />Governor <br />Greg E Watcher <br />Executive Director <br />Michael B. Long <br />Division Director <br />Under the terms of your Reclamation Permit and Colorado Statutes, you must submit Annual Fees and Annual <br />Reports. You must pay [he 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 RECENED ON <br />OR BEFORE YOUR ANNNERSARY DATE, A FORMAL NOTICE OF VIOLATION AND A BOARD <br />ORDER TO PAY CIVII. PENALTIES IN THE AMOUNT EQUAL TO THE ANNUAL FEE $281.00 WII.L <br />BE AUTOMATICALLY ASSESSED. NO PERMTfS FOR NEW MINING OPERATIONS SHALL BE <br />GRANTED TO ANY OPERATOR WHO IS CURRENTLY FOUND TO BE IN VIOLATION IN THIS <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-1999-043 <br />Operation Name: C & D Farms No. 2 <br />Anniversary Date: May 11, 2002 <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 [he enclosed annual report FORM, a MAP, and a CHECK or MONEY ORDER made, payable [o <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 />M:NERMITVNASTERDOCUMENTSN~I-AF-04 <br />