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RECEIVED 11/28/2017 04:29PM <br /> 2017-11-27 11 :54 3038328106 3038328106 >> P 1/5 <br /> COLORADO <br /> { Division of Reclamation, <br /> Mining and Safety <br /> � brptr(rnentotNdluralRe�purc�s <br /> 1313 Sherman St.Room 215 <br /> Denvrr,CO 8{}203 <br /> RECEIVED <br /> August 1,2017 <br /> Laurine Koellner DEC 04 201/ <br /> L&L Ready Mix DIVISION OF REC <br /> 1'.O.Box 219 M7'FE LAMATION <br /> Iiaxtun,CO 8U731 n'-MINERALS <br /> © NL <br /> 4- <br /> Sunny Dale Farm 1'it,Permit M-1998-059,Annual Fee Invoice and Report Request <br /> PLEASE READ CAREFULLY—ACTION REQUIRED <br /> Please attach your COMPLETED w ritten Annual Report and Annual Report MaP to this form <br /> Under the terms of your Reclamation Permit and Colorado Statutes,you must submil an Annual Fee and <br /> Annual Report(including it map). You must pay the Annual Fee and submit an Annual Report each year <br /> until reclamation responsibil ity release is granted. The Annual Fee is not a renewal fee. The Fee and Report <br /> are for LAST YEAR'S ruining and reclamation season, and MUST he paid even if your operation was <br /> inactive, <br /> The Ann"I Report and Fee requirement will be considered submitted when we have received the <br /> following-components: <br /> 1. APPROPRIATE ANNUAL FRE <br /> 2. C MPLETED 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 <br /> Safely("Division") but your permit is not released by the anniversary date listed below, the Annual Fee <br /> MUST be;paid. If the permit is released before the anniversary date,then by Statute, it is not necessary to <br /> pay an Annual Fee or submit an Annual Report for that year. <br /> Division records indicate the$791.00 fee is due for the following: <br /> Permit: M-1.998-059 <br /> Operation Name: Sunny Dale Farm Pit <br /> Anniversary Date,. September 15,2017 <br /> Total Fee Due: $791.00(Due on or before your Anniversary Dale) <br /> QT Cp�� <br /> 1313 Sherman St.Room 215 Dcnvpf,Co 80203 P(303)866.3567 F h!, s'c:t` 10'' <br /> * � <br /> John W. Hiekpnlooper,Governor I Robert W.kandall, Executrvu Director I V�rglnra Brannon,Dvector � us�� <br />