2013-06-28_REPORT - M1979102

• Permit No: M1979102
• IBM Index Class Name: REPORT
• Doc Date: 6/28/2013
• From: Cross Mountain Ranch Ltd. Partership
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Email Name: DMC
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY ,A --�
Department of Natural Resources
1313 Sherman St, Room 215
Denver, Colorado 80203
Phone: [phone]
FAX [phone]
May 1, 2013
Stacy L. Quick
Cross Mountain Ranch Ltd. Partnership
P.O. Box 897
Craig, CO 81626 -0897
COLORADO
D IV IS I ON OF
RECLAMATION
RECENED
MINING
&-
i,
SAFETY
John W Hickenlooper
UI <USS iViTN. RANCH
Governor
Mike King
Executive Director
Loretta E Pineda
Director
Kagie Gravel Pit, Permit M- 1979 -102, Annual Fee Invoice and Report Request
P1,E'AS1,, Rl %AV CARIA411,IA' ACTION REQUIRED
Please attach %our CONIPl.h]TE'D �1ritten Annual Report and Annual Report Man to this form
Under the terms of your NO] or Reclamation Permit and Colorado Statutes. you must submit Amwal Fees and
Annual Reports (including a map). You must pay the Annual Fee and submit an Annual Report each year until
reclamation responsibility release is granted. The Annual Fee is not a renewal fee. The Fee and Report are for
I -ASi YEAR'S mining and reclamation season, and MUST be paid even if your operation was inactive.
The Annual Report and Fee requirement will be considered submitted when we have received the following
components:
1. APPROPRIATE ANNUAL FEE
2. COMPLETED ANNUAL REPORT
3. ASSOCIATED MAP as required by rule
If you have requested reclamation responsibility release from the Division of Reclamation, Mining and Safety
( "Division") but your permit is not released by the anniversary date listed below, the Annual Fee MUST be paid. If
the permit is released before the anniversary date, then by Statute, it is not necessary to pay an Annual Fee or submit
an Annual Report for that year
Division records indicate the $323 00 fee is due for the following
Permit: M -1979 -102
Operation Name Kagie Gravel Pit
Anniversary Date June 21, 2013
Total Fee Due: $323.00 (Due on or before your Anniversary Date)
Return the enclosed Amival Report FORM, a MAP, and a CHECK or MONEY ORDER made payable to: Division
of Reclamation, Mining and Safety. 1313 Sherman St., Room 215, Denver, CO 80203. If your records indicate
these documents and fees have already been submitted, please notify the Division.
if you have additional comments and/or information that should be provided to the Division, please provide it below
or attach it to this form along with your written report and map. Annual Report instructions are enclosed. If you
have any questions, please feel free to contact Jim Dupler (303)866 -3567 x8119 or Christine Brookshire (303)866-
3567 x8132. Thank you for your cooperation in this matter
11 I III ANNUA1 I I I St BNII I I Al S AR NO I Rl ( l IVI 1) ON OR 131-1 ORI. Y(AIR ANNIVI-RSARY
DA I I 1111 I NI ORUI N11 N I PROCI SS Will I AU I ONIAI WAI I Y BI INIA111 1) 1 NI ORUI N11 N I
AU I ION'S MAY Rl Sl)1 1 IN I. IVIl PI'NAI I It 'S AND OR RI VOCA i ION Oi YOUR Pt RMI I
Office of Office of
Mined Land Reclamation Denver • Grand Junction • Durango Active and Inactive Mines