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mss° t16 2012 <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 />Daniels Sand Pit 2, Permit M- 1973 - 007 -SG, Annual Fee Invoice and Report Request <br />Under the terms of your NOI or Reclamation Permit and Colorado Statutes, you must submit Annual Fees and <br />Annual Reports (including a map). You must pay the Annual Fee and submit an Annual Report each year until <br />reclamation responsibility release is granted. The Annual Fec is not a renewal fee. The Fee and Report are for <br />LAST YEAR'S mining and reclamation season. and MUST be paid even if your operation was inactive. <br />Division records indicate the $791.00 fee is due for the following: <br />Permit: M -1973- 007 -SG <br />Operation Name: Daniels Sand Pit 2 <br />Anniversary Date: January 7, 2013 <br />Total Fee Due: $791.00 (Due on or before your Anniversary Date) <br />11 1 111 . \NNI , \1 LLI ' t I1 \111 "1 1I ti 1RF !;OI R1:C•11\•I 1) O\ O12 lit I ORL \"(111R \\ \I\'IFKS \RN <br />{) \ I 1 1 111 I NI ORC'F. \11 -ti "I PK( h."1_ti' \\ I1 .I 11'1( \TIC . \LI l 131 { N I \ 1 1hI) 1,N1.0RC 1 \11 N I <br />1('l 1( )N,, \111• R1.'( 1 1 IN C1\'11 P1 N )RR RI \'OC':\TI( )!\ O1 1 O1rlt P1 R \111 <br />Mined Land Redamation <br />December 3, 2012 <br />Andrea Larochc <br />Continental Materials Corporation <br />444 E. Costilla <br />Colorado Springs, CO 80903 <br />1. APPROPRIATE ANNUAL FEE <br />2. COMPLETED ANNUAL REPORT <br />3. ASSOCIATED MAP as required by rule <br />STATE OF COLORADO <br />COLORADO <br />D I V I S I O N O F <br />RECLAMATION <br />MINING <br />— &— <br />SAFETY <br />John W. Hickenlooper <br />Governor <br />Mace King <br />Executive Director <br />Loretta E. Pineda <br />Director <br />PLEASE RE'..Al) ('ARF I' L LL\ – ACTION REQUIRED <br />Please attach . our COMPLETED « ritten .annual Report and Annual Report Map to this form <br />The Annual Report and Fee requirement will be considered submitted when we have received the following <br />components: <br />If you have requested reclamation responsibility release from the Division of Reclamation, Mining and Safety <br />("Division ") but your permit is not released by the anniversary date listed below, the Annual Fee MUST he paid. If <br />the permit is released before the anniversary date, then by Statute, it is not necessary to pay an Annual Fee or submit <br />an Annual Report for that year. <br />Return the enclosed Annual Report FORM, a MAP, and a CHECK or MONEY ORDER made payable to: Division <br />of Reclamation, Mining and Safety, 1313 Sherman St., Room 215, Denver, CO 80203. If your records indicate <br />these documents and fees have already been suhmitted, please notify the Division. <br />If you have additional comments and/or information that should be provided to the Division, please provide it below <br />or attach it to this form along with your written report and map. Annual Report instructions are enclosed. If you <br />have any questions, please feel free to contact Jim Dupler (303)866 -3567 x8119 or Christine Brookshire (303)866- <br />3567 x8132. Thank you for your cooperation in this matter. <br />Office of Office of <br />Denver • Grand Junction • Durango Active and Inactive Mines <br />