Laserfiche WebLink
. ~ ~ RECEIVED <br />SEP ~ 6 ~ <br />Awe 1. <br />Permit No: gl_5g <br />Anniversary Date: September 7 <br />Operator: United SAnci & Gravel Co. <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: <br />Check or money order payable to Colorado Mined Land <br />x Reclamation Division for annual fees due <br />Annual Report <br />X <br />hlap <br />Remarks: To date no mining activity has taken place at this site. <br />United Sand & Gravel <br />1 <br />Signature Ken W. Nesbi <br />President <br /> <br />