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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 />Ala -' 1,'_01 3 <br />Thomas, S Hen(h iik, <br />e�ources + orado, Inc <br />IP (.) ' 65 3 <br />cdcllallil.l'(_) tiir�t�6 <br />STATE OF COLORADO <br />1\1; C_ r- M i e- I <br />un;o" rn; It ;.1_� <br />IP 0 _i�o)c (Q 2--o 4R O <br />L,' 4-4- le- o <br />COLORADO <br />l�ivrsrnr. (l r. <br />RECLAMATION <br />MINING <br />SAFETY <br />John W H+ckenlocper <br />Governor <br />Mike King <br />Executive Director <br />J Loretta E Pineda <br />Director <br />SO1 &Z-0Lt4'o <br />Hopeinw-e Shaft, F'eulnit 111 -1990 -115', Annual Fee Invoice anll Rel-lout Request <br />PLEASE READ t_'_ R_EFT_TLLY — ACTION REQUIRED <br />I'le'l"e attach N°oul, (_'0I11I'LETEI)_Written Alultl:11 Retr {rut an +1.11nnutl Rel)oi 01.11) to r this form <br />LTnde1 the teinis of v'e+m WII or Reclamation Perinit :mil t_'c +loradc+ Statute., v-ou ini t smbinit nnijal Fee,: and <br />a1uulal Repcets i alc hidin ,' a inap f I ou mint pay the -klumal Fee and svl:rnllt an Aluroal Repoif each yeat until <br />reclamat1n11 1'e pon.lblllty' 1 rlease is ,rallterl The -annual Fee is nut a i'eneval fee The Fee and Report are for <br />LAST 'i-EAR'S nlnlnl, and reclamation sea"oll, and AITTST be paid ei-en if )°uui operation N' pis ltlacfis-e <br />The Anal Report and Fee i equii einent will be considered snbtnitted when we have received the followitla <br />components: <br />1. .PPROPRI ATE :'INN[? AL FEE <br />2, ('(__)AIPLETED �NNTT_'LL REPORT <br />3. ASSC)C'IATEI) AIAP :is required bA- rule <br />If- oil haze 1e+luested Ie(lanlatlnll resl)6nslbillt)- lelease front the Di-mion ofRechunatlon, Alining and Safeh' ithe <br />Diz isiun "I <br />NO soul permit is not Ieleasecl by the .Mill -ersaly date listed belon the - Annual Fee ItITTST be pmd If <br />the pe11111t 1s released before the mnli. ers.uv date, thell by Statute. it Is not ne(e,.,u}• to l)ay all _-kiln ial Fee or subillit <br />all ninial Report foi that yev <br />D11-1 lon recoil, indicate the $259 (10 fee is due fertile followin, <br />Per illrt <br />Oi)eration Naine Hopenloi•e Shaft <br />A nniversan- Date June 15 2013 <br />Total Fee Due $25 1 00 IDiie nil or before yulu Annr-ersail- Date <br />Rehun the enclosed Alunial Rel)olt Fi_)RAl, a hL-UP, awl a ('HECK, or Ali -)NEY ORDER matte payable to Dr-1sion <br />ofReclninatton. Atnlm, vid Safety, 1313 Shelnlan St . Roonl 215. Den'-ei, 0_) S0203 IfN-can recnl(ls nl(Itcate <br />these documents an(I fees ha- e ahheady been snbnittted, please notify the Di•-1sion <br />If -vou hate additional c onllllellts and ur ulfolulatlon that should be pi ovided to the Dn-ision, please pro -ide it belo «- <br />or attach it to tills forth adult, -with yolli N \i tttell r'epnlf and inap Annual Rep(ut instructions are enclosed If uu <br />hay -e ally (Illestlnll", please feel flee to contact Jun Dupler i 3o3 )S66 -356- x5119 of I- Ill brute Bl'ookshlle ( o3 1566- <br />3 i(i-):5132 Thank yotl foi your � oopel atlon In this nlattei <br />IF THE ANN, tT AL FiL Et1 TliAll`1 "I'_aL<' ab'E; Iv <br />I)_,_TE. THE EI117 ?R+'Eh1ENT PR + -.'E SS �A _IL L TTTC)!1ATI +_'_ALL i BE I14L -?JIFD ENFC +R,_'EAIENT <br />A+ "IT +_ +: ALA i F:EST -LT 111 +_'IVIL L'Ei L L"j'IE� i i I =_+1: RE + <' ? °L'I +_+N +_rj' r + rl TK PER ALCT <br />Office of Office of <br />Mined Land Reclamation Denver • Grand .:uncEion • Durango Active and Inactive Mines <br />