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COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT <br /> WQCD 2000 700 COR040208 000012800 5/24/2004 700015099 P <br /> COLORADO STORMWATER DISCHARGE PERMIT SYSTEM INVOICE: 700015099 <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: $128.00 <br /> RECEIVED <br /> DETACH AND RETURN TOP PORTION WITH PAYMENT j u m 0 Q M4 <br /> Division of Minerals&Geology <br /> NOTE:FAILURE TO RETURN TOP PORTION OF INVOICE WITH EXACT PAYMENT MAY RESULT IMP <br /> IN A POSTING DELAY OR IN THE IMPROPER CREDITING OF YOUR ACCOUNT. <br /> STATEMENT OF ANNUAL FEES <br /> COLORADO STORMWATER DISCHARGE PERMIT SYSTEM <br /> BILLING DATE: 5/24/2004 INVOICE NUMBER: 700015099 <br /> BILLING PERIOD: July 01,2004 to June 30,2005 DUE DATE: 07/31/2004 <br /> $128.00 <br /> FEES CHARGED <br /> PERMIT#COR040208 <br /> Type:Inactive mineral mines-SW only/General Permits(07/14) <br /> County: Pitkin <br /> Name of Site: Coal Basin Sediment Pond Reclam. <br /> David L. Buclmam <br /> Colorado Div of Minerals&Geology b <br /> 1313 Sherman Street,Rm 215 <br /> Denver CO 80203 <br /> TOTAL CURRENT CHARGES: Gl <br /> $128.00 <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 />