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STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 8663567 <br />FAX: (303) 832-8106 <br />COLORADO <br />DIVISION O F <br />MIN ORALS <br />GEOLOGY <br />RE CLANATIDN•N IN ING <br />SAf ETY•SCIENCE <br /> Bill Owens <br />IUIy 1, 2006 Governor <br /> Russell George <br />Elbert County Executive DIYQCTOr <br />g~9 Ute AYe. Ronald W. Cottony <br />Simla, CO 80835 Division Director <br /> Natural Resource Trustee <br />MINED LAND RECLAMATION BOARD <br />112c 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, [hen 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 ANNIVERSARY DATE, A FORMAL NOTICE OF VIOLATION AND A BOARD <br />ORDER TO PAY CNIL PENALTIES IN THE AMOUNT EQUAL TO THE ANNUAL FEE $688.00 WILL <br />BE AUTOMATICALLY ASSESSED. NO PERMTI'S FOR NEW MIlVING 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-i20 OR C.R.S. 34-32-I20) UNTIL THE VIOLATION IS ABATED: <br />Division records indicate $688.00 fee is due <br />Permit No.: M-2001-010 <br />Operation Name: Allison Gravel Pit <br />Anniversary Date: August 14, 2006 <br />Total Fee Due: $688.00 (Due on or before your Anniversary Date) <br />If yourYecords 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 />Office of Office of Colorado <br />Mined l~Qp¢,l~Q4t80.19tJPAiDOCUMENTSIM-AF-09 Active and Inactive Mines Geological Survey <br />