2012-09-20_REPORT - M2001068

• Permit No: M2001068
• IBM Index Class Name: REPORT
• Doc Date: 9/20/2012
• Doc Name: ANNUAL FEE/REPORT
• From: OPERATOR
• To: DRMS
• Email Name: TCW
• Email Name: TAK
• Media Type: D
• Archive: No

DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Rotund Resources
1313 Sherman St.. Room 215
Denver, Colorado 80203
Plane: (303) 868 -3587
FAX [phone]
August 1, 2012
Brent Tamburelli
Tamrock Gravel Company
137 Plum Street
Trinidad, CO 81082
Bottomless Pit, Permit M-2001468, Annual Fee Invoice and Report Request
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.
Division records indicate the S791.00 fee is due for the following:
Permit M- 2001 -068
Operation Name: Bottomless Pit
Anniversary Date: September 17, 2012
Total Fee Due: $791.00 (Due on or before your Anniversary Date)
IF THE ANNUAL FEE SUBMITTALS ARE NOT RECEIVED ON OR BEFORE YOUR ANNIVERSARY
DATE, THE ENFORCEMENT PROCESS WILL AUTOMATICALLY BE INIATIED. ENFORCEMENT
ACTIONS MAY RESULT IN CIVIL PENALTIES AND/OR REVOCATION OF YOUR PERMIT.
Office of
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STATE OF COLORADO
COLORADO
DIVISION Of
RECLAMATION
MINING
SAFETY
John W Htck r000psr
Governor
Mace King
Ezsaidve Dueclor
Loretto E. founds
Mellor
PLEASE READ CAREFULLY — ACTION REQUIRED
Please attach vour COMPLETED written Annual Report and Annual Report Man to this form
The Annul Report and Fee requirement will be considered submitted when we have received the following
components:
1. APPROPRIATE ANNUAL FEE
2. COMPLETED ANNUAL REPORT'
3. ASSOCIATED MAP as reauired 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.
Return the enclosed Aatumllkomatni. a Mf and a CHEMor 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.
0 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 Dopler (303)866 -3567 x8119 or Christine Brookshire (303)866-
3567 x8132. Thank you for your cooperation in this matter.
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