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DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman SL. Roan 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866.3567 <br />FAX: (303) 832 -8106 <br />May 1, 2013 <br />Aidan Connolly <br />Premier Silica LLC <br />5205 N. O'Connor Blvd., Suite 200 <br />Irving. TX 75039 <br />STATE OF COLORADe <br />p y <br />"�n�1uu� al`� <br />Jemadojin Send Mine, Permit M- 2006.017, Annual Fee Invoice and Report Request <br />COLORADO <br />D I V r 1 l O N OF <br />RECLAMATION <br />MINING <br />— st- <br />SAFETY <br />John W. Hickenlooper <br />oovemor <br />Mike King <br />Ex"ve Director <br />Loreits E. Pineds <br />Director <br />PLEASE READ CAREFULLY — ACTION REQUIRED <br />Please attach ♦our COMPLETED written Annual Report and Annual Report Map to this form <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 Surety <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. �.» a*1' /CD <br />Division records indicate the $0.00 fee is due for the following: <br />Permit: M -2006 -017 MAY 172013 <br />Operation Name: Jemadojin Sand Mine <br />Anniversary Date. June 13, 2013 <br />Total Fee Due: $0.00 (Due on or before your Anniversary Date) DW.,i`N OF Re <br />Return the enclosed Annual Report FORM, a ", and u CHECK or MONEY ORDER made payable to: avrsrD�TM <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 />IF THE ANNUAL FEE SUBMITTALS ARE NOT RECEIVED ON OR BEFORE YOUR ANNIVERSARY <br />DATE. THE ENFORCEMENT PROCESS WILL AUTOMATICALLY BE INIATIED. ENFORCEMENT <br />ACTIONS MAY RESULT IN CIVIL PENALTIES AND /OR REVOCATION OF YOUR PERMIT. <br />Office Of vllpm VI <br />Mined land Reclamation Denver - Grand Junction - Durango Active and Inactive Mines <br />