STATE OF COLORADO
<br />111 \rICInRI nF fit -1-1 AUATION MININA AND SAFM
<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 />January 2, 2013
<br />Colorado Division of High\�,ays „
<br />P-2STOE&RnI 317 all, o eo A)lu y/ ,,-r-. DM810N OF RECLAMATION
<br />Grmvd+dne49n, CO -4494- MININGAND SAFETY
<br />N Of Douglas Pass, Permit A'I- 1981 -043, Annual Fee Invoice and Report Request
<br />AL7 dr_ia
<br />COLORADO
<br />D I V I S I O N OE
<br />RECLAMATION
<br />MINING
<br />—St—
<br />John W. Hrckenrooper
<br />Govemor
<br />?Ake King
<br />Executive Director
<br />Loretta E. Pineda
<br />Director
<br />VIA'A'A' READ t ARF1, ( 1.1 i -• VA l()\ 1:1:01 ;11'UD
<br />l lva.,c attach Fottr CON.11'l.I�.' 1 -H) %ttittvii Annual lit mrt and An to ;,il Report t1Lip to thk loom
<br />Under the terms of your NOI or Reclamation Permit and Colorado Statutes, you must submit Annual Fees and
<br />Annual Report (including a map). You must pay the Annual Fee and submit an Annual Report each year until
<br />iv.-i.iuiation responsibiiity reicase is granted. The Annual Fee is not a renewal fee. The Pee and Report are for
<br />LAST YEAR'S mining and reclamation season, and MUST be paid even if your operation was inactive.
<br />I ite Annuai neport ana ree requirement gnu uc consiaerea submittea wnen we nave receives me touowing
<br />components:
<br />1. APPROPRIATE ANNUAL FEE.
<br />2. COMPLETED ANNUAL REPORT
<br />nuova are a nv ivinr as required ov rule
<br />If you have requested reclamation responsibility release from the Division of Reclamation, Mining and Safetv (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 $323.00 fee is due for the following:
<br />rcillm. m -t 70 1 -v43
<br />Operation Name: N Of Douglas Pass
<br />Anniversary Date: February 1, 2013
<br />Total Fee Due: S323.00 (Due on or before your Anniversary Date)
<br />1",-A ,-A A.....,.,i oa..., -t 1lnvae a *e A t) �, ,t a f FTprw -r MnNFY nRT)PR mar[P navahle 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 />nr attorh it In th;c f— alma a ;th vn n.r;trn., - .+..n-t 1 m A...,....1 D.,n..-, ;-....e; .+-o n.,..i..,. A rr,,..,.
<br />have any questions, please feel free to contact Jim Dupier (303)866 -3567 x8119 or Christine Brookshire (303)866-
<br />3567 x8132. Thank you for your cooperation in this matter.
<br />II' I iP ,,NN"[ %(. i r.1. S,.:R\l1 i !0 ti Ak1. Nk l I Kl Cr !N i i I iN H!"' il:i � =!:'_C ANNN.'VERS
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<br />Office of Office of
<br />Mined Land Reclamation Denver - Grand Junction • Durango Active and inactive Mines
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