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COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT <br /> WQCD 2000 700 COR040204 000025800 5/24/2004 700015098 I C <br /> COLORADO STORMWATER DISCHARGE PERMIT SYSTEM INVOICE: 700015098 <br /> ATTN:David L. Bucknam PLEASE MAKE ANY ADDRESS <br /> Colorado Div of Minerals &Geology CORRECTIONS ON REVERSE <br /> 1313 Sherman Street,Rm 215 <br /> Denver CO 80203 AMOUNT DUE: $258.00 <br /> DETACH AND RETURN TOP PORTION WITH PAYMENT <br /> in 0 8 20S <br /> NOTE:FAILURE TO RETURN TOP PORTION OF INVOICE WITH EXACT PAYMENT MAY RF1t&ipn of Minerals&Geology <br /> IN A POSTING DELAY OR IN THE IMPROPER CREDITING OF YOUR ACCOUNT. IMP <br /> STATEMENT OF ANNUAL FEES <br /> COLORADO STORMWATER DISCHARGE PERMIT SYSTEM <br /> BILLING DATE: 5/24/2004 INVOICE NUMBER: 700015098 <br /> BILLING PERIOD: July 01,2004 to June 30,2005 DUE DATE: 07/31/2004 <br /> $258.00 <br /> FEES CHARGED <br /> PERMIT#COR040204 <br /> Type:Active mineral mines<10 acres-SW only/General Permits(07/12) <br /> County: Pitkin <br /> Name of Site: Coal Basin Reclaim. Cons.Projects <br /> David L. Bucknam J <br /> Colorado Div of Minerals&Geology <br /> 1313 Sherman Street,Rm 215 <br /> Denver CO 80203 ' <br /> TOTAL CURRENT CHARGES: $258.00 <br /> COMMENTS: <br /> To assure proper credit,please include the permit number on your check and return the top portion of this invoice with <br /> your check. <br /> MAKE CHECK COLORADO DEPARTMENT OF PUBLIC HEALTH&ENVIRONMENT <br /> PAYABLE and 4300 Cherry Creek Drive South <br /> RETURN Mail Code ASD-AR-B1 <br /> PAYMENT TO> DENVER,CO 80246-1530 <br /> INQUIRIES: (303)692-3616 <br />