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• iiiiiuiiiiiiiuiii <br />1'eL~ ~ ~ ~ ~ E ® 111/112 Enclosure <br />JUN 191987 <br />Permittee Name: U S Soil Cond Co <br />Permit No: M-79-206 MINED LAND <br />Operation Name: Maverick Placer RECLAh4A?ION DIVISION <br />Anniversary Date: 06/16/87 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />_~ Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />Map <br />Remarks: Due to the fact that we .iust received this notice vesterdav and <br />Sicfnature ~~:C <br />(Rev. 02/87) <br />5257E <br />6/~~/~ <br />~e- <br />