2012-09-19_REPORT - M1981068

• Permit No: M1981068
• IBM Index Class Name: REPORT
• Doc Date: 9/19/2012
• Doc Name: ANNUAL FEE/REPORT
• From: OPERATOR
• To: DRMS
• Email Name: TAK
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources
1313 Sherman St., Room 215
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
Office of
11,16..,..1 1 a n _, _ _•
September 4, 2012
Dan or Doug Grant
Grant Bros Construction Ltd
P.O. Box 1027
Basalt, CO 81621
Loesch Pit, Permit M- 1981 -068, Annual Fee Invoice and Report Request
1'L1, \711.: Ri: \l) C \R1:1 1 i t\ - . - \t'i JON IZEQ '1RED
Please attach NOM' COMPLETED TED v rtten Annual Report and Annual Retort \ late to this form
Under the terms of your NOI or Reclamation Permit and Colorado Statutes, you must submit Annual Fees and
Annual Reports (including a map). 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 Report are for
LAST YEAR'S mining and reclamation season, and MUST be paid even if your operation was inactive.
The Annual Report and Fee requirement will be considered submitted when we have received the following
components:
1l I HI' \NNI \1_ FEE SL H \In 1 \E _ \RI \)1 10.,CL1 EI) 1 }N 01: I;t_[URI: Y0l'R \ \N1 \ ERS. \R
DATE t'HI [NI ORC'E \ILN 1 1'IMC'ESS \,\ 11 1. \I' )11 \*1It \t ; 1 1\.1 \TIED L.N'I t)RC'I - ,;\ IE N
\CU ) \S , 11 \1 RI:SLL1 I \ CIVIL Pk \I TIFi AND/01: R[\ ! 0r \ I l( )\ (g• 1 Oi_'I: I'1.R:1il 1
COLORADO
D I V I S I O N O F
RECLAMATION
MINING
— &—
SAFETY
John W. Hickenlooper
Govemor
Mike King
Executive Director
Loretta E. Pineda
Director
1. APPROPRIATE ANNUAL FEE
2. COMPLETED ANNUAL REPORT
3. ASSOCIATED MAP as required by rule
If you have requested reclamation responsibility release from the Division of Reclamation, Mining and Safety
( "Division ") but your permit is not released by the anniversary date listed below, the Annual Fee MUST be paid. If
the permit is released before the anniversary date, then by Statute, it is not necessary to pay an Annual Fee or submit
an Annual Report for that year.
Division records indicate the $791.00 fee is due for the following:
Permit: M- 1981 -068
Operation Name: Loesch Pit
Anniversary Date: October 27, 2012
Total Fee Due: $791.00 (Due on or before your Anniversary Date)
Return the enclosed Annual Report FORM, a MAP, and a CHECK or MONEY ORDER made payable to: Division
of Reclamation, Mining and Safety, 1313 Sherman St., Room 215, Denver, CO 80203. If your records indicate
these documents and fees have already been submitted, please notify the Division.
If you have additional comments and/or information that should be provided to the Division, please provide it below
or attach it to this form along with your written report and map. Annual Report instructions are enclosed. If you
have any questions, please feel free to contact Jim Dupler (303)866 -3567 x8119 or Christine Brookshire (303)866-
3567 x8132. Thank you for your cooperation in this matter.
Office of