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STATE OF COLORADO <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 />April 1, 2013 <br />Randy Schafer <br />Phillips County <br />221 S. Interocean Ave. <br />Holyoke, CO 80734 <br />Ward Pit, Permit M- 2003 -024, Annual Fee Invoice and Report Request <br />COLORADO <br />D I V IS I ON OF <br />RECLAMATION <br />MINING <br />— St — <br />SAFETY <br />John W. Hickenlooper <br />Governor <br />Mike King <br />Executive Director <br />Loretta E Pineda <br />Director <br />I it, I!Il . I t- <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 Fee 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 />The Annual Report and Fee requirement will be considered submitted when we have received the following <br />components: <br />1. APPROPRIATE ANNUAL FEE <br />2. COMPLETED ANNUAL REPORT <br />3. ASSOCIATED MAP as required by rule <br />If you have requested reclamation responsibility release from the Division of Reclamation, Mining and Safety (the <br />"Division ") but your permit is not released by the anniversary date listed below, the Annual Fee MUST be 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 />Division records indicate the $791.00 fee is due for the following: <br />Permit: <br />M- 2003 -024 <br />Operation Name: <br />Ward Pit <br />Anniversary Date: <br />May 15, 2013 <br />Total Fee Due: <br />$791.00 (Due on or before your Anniversary Date) <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 submitted, 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 />II I l ll� ANNI i l I I 1 '0 HN'll I I Al ti AINI- N(11 I:l ( I V ) Oiv 111\' k I ( 11:1 ) 0111\) AN'N1VH,,` Ak Y <br />I I\ I I I I II 1�N'I OI\( I M1 N I PIN'O('I;SS \VII 1 1)1� Al I I ONl 1 1 II -`,I 11 I .I 1 111 1) 1 NI ORCN1I N I <br />�( I ION` N111' 10 '1111 I IN ( IVII PI`N /}I'I II 5 ANI) /O I: I\I \ O( \ I IO,'N OI ) Ol I IT 1,N11 I <br />Office of Office of <br />Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines <br />