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• r • • <br />110 Enclosure <br />Permittee Name: <br />Permit No: Hard Rock Paving & Redi-Mix -°~"'~'~~~~ <br />Operation Name: M-77-195 <br />Anniversary Date: Hard Rock 291 Pit MAY 2 2 1967 <br />04/21 /87 NrlNrD l,AliVCi <br />~iECLAtv1~Ti4N pivf51Oh7 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />g Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />X Annual Report <br />Remarks: There was no aotivi.ty in this pit in 1986 and we <br />do not plan on any antivity i.n 1987 <br />~ ,1 <br />Signature ~ <br />(Rev. 02/87) <br />5257E <br />