2009-08-13_REPORT - M2000040

• Permit No: M2000040
• IBM Index Class Name: REPORT
• Doc Date: 8/13/2009
• Doc Name: Annual Fee/Report/Map
• From: Medicine Bow
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources
1313 Sherman St., Room 215 ?a
Denver, Colorado 80203 ECEQVEZ)
Phone: [phone]
FAX; [phone] /iA UG
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FINAL NOTICE
COLORADO
DIVISION OF
RECLAMATION
MINING
SAFETY
Bill Ritter, Jr.
Governor
Harris D. Sherman
Executive Director
Ronald W. Cauany
Division Director
Natural Resource Truster
Please be advised that according to records of the Division of Reclamation, Mining and Safety (the "Division") the
annual fee and report listed below is past due.
The Division must receive all fees due, accompanied by an adequate report, no later than 5 p.m. on July 31,
2009, or a Notice of Violation, Cease and Desist Order from ALL mining related activities, Civil Penalties equal to
the amount of the annual fee due, and a Notice of Formal Public Hearing before the Mined Land Reclamation
Board for consideration of POSSIBLE PERMIT REVOCATION will be issued for this account.
The Annual Report and Fee requirement is not met until we have received the following components: fee,
report, and associated man If no new disturbances or reclamation have occurred during the previous year
and no new chanr?es to the previous year's may are necessary, then no new may is reawred. provided that
the Operator shall state this in the Annual Report.
Division records indicate $323.00 is due. /
Permit No. M-2000-040
Operation Name: _ State Line Ranch Pit
Anniversary Date: June 23, 2009
Total: $323.00 (Due on or before )
Division of Reclamation,
?j Mining and Safefi/
July 1, 2009
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medicine Bow - Routt National Forest USDA Forest Service
2468 Jacks St.
Wyoming, 82070-6535
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If your records indicate different facts than those stated above please inform the Division no later than July 31,
2009. If you receive this notice and you have mailed your payment and report to the Division, please disregard this
notice. The Division appreciates your prompt attention in this matter.
Any questions concerning your annual report or fees, may be directed to Mary Rodriguez at [phone] ext.
8138.
Make checks payable to the Division of Reclamation, Mining and Safety.
Office of
office of Active and Inactive Mines
nA?nwdd?a RP?Clat7H.'1t??Q(droA rrmr..7.009-M1M.2000-040 F9.dot Denver • Grand junction • Durango