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STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 <br />January 3, 2011 <br />Loloff Construction, Inc. <br />P.O. Box 518 <br />206 Hill St. <br />Kersey, CO 80644 <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 I <br />Reports. You must pay the Annual Fee and submit an Annual Report each year until reclamati4 <br />release is granted. The Annual Fee is not a renewal fee. The fee and the report are for LAST YE, <br />reclamation season, and MUST be received even if your operation was in an inactive state. The fi <br />due ON OR BEFORE your permit anniversary date shown below. The Annual Report and Fee <br />not met until we have received the following components: fee, report, and associated m <br />are necessarv, then <br />Annual Report. <br />year and no new chain <br />COLORADO <br />D IV IS I ON OF <br />RECLAMATION <br />MINING <br />SAFETY <br />-s and Annual <br />responsibility <br />ZS mining and <br />and report are <br />eauirement is <br />If you have requested reclamation responsibility release from the Division of Reclamation, Mining and Safety (the <br />"Division") but your permit is not released by your anniversary date listed below, the annual fee ST be paid. If <br />the permit is released before the anniversary date, then by Statute, you do not pay an annual fe or submit an <br />annual report for that year. <br />PLEASE NOTE: IF THE ANNUAL FEE, ANNUAL REPORT, AND A MAP ARE NOT RECE <br />BEFORE YOUR ANNIVERSARY DATE, A FORMAL NOTICE OF VIOLATION AND A BOAR <br />PAY CIVIL PENALTIES IN THE AMOUNT EQUAL TO THE ANNUAL FEE $ $791.1 <br />AUTOMATICALLY ASSESSED. NO PERMITS FOR NEW MINING OPERATIONS SHALL F <br />TO ANY OPERATOR WHO IS CURRENTLY FOUND TO BE IN VIOLATION IN THIS STA'? <br />32.5-120 OR C.R.S. 34-32-120) UNTIL THE VIOLATION IS ABATED. <br />Division records indicate $ $791.00 fee is due <br />Permit No.: M-1985-112 <br />Operation Name: Loloff Mine <br />Anniversary Date: February 4, 2011 <br />Total Fee Due: $$791.00 (Due on or before your Anniversary Date) <br />If your records indicate different facts than those stated above please notify the Division. <br />ON OR <br />WILL BE <br />GRANTED <br />(C.R.S. 34- <br />Please return the enclosed annual report FORM, a MAP, and a CHECK or MONEY ORDER made payable to the <br />Division of Reclamation, Mining and Safety, 1313 Sherman St., Room 215, Denver, Colorado 80204. <br />Thank you for your cooperation in this matter. If you have any questions, please feel free to contact Jim Dupler <br />(303) 866-3567 ext. 8119. <br />Office of Office of <br />Mined Land Reclamation Denver • Grand )unction • Durango ?ctive and Inactive Mines