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\ ~ ~ III IIIIIIIII"'~'II ~i <br />112 Enclosure <br />~:ar ~ry,:x' :.-~ ,.,.~~~.. i <br />Permi ttee Name: Farmers/Bank of Brush #!~T~ ~^~" •' ^'~ -- ~. F9....~ <br />Permit Ho: M-80-135 <br />Operation Name: Headley Farms Q CT 9 ~9~ <br />Anniversary Date: 10 / 07 / 86 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />x Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />x Annual Report <br />x Map <br />Remarks: We are still attempting to sell the Headley Farms. <br />Mining operations are and will be very limited. The <br />contractor working the pit has been doing limited extraction <br />from pit I12. All areas mined in the last 4 years is to be <br />reclaimed as part of the lakes adjoining the affected areas. <br />Note: Name of Bank - The Farmers State Bank, Brush, CO 80723 <br />~~ <br />/ ~~ <br />e o man R Tisdale, President <br />(o~`rr ~ <br />~~~ <br />