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~ ~ III IIIIIIIIIIIII III ~ <br />~_ <br />R EC E~VED 10 and 111 Enclosure <br />Permittee Name: Charles W. Houchin FE © 1 5 1985 <br />Permit No: 80-249 <br />Operation Name: HOUCHIN GRAVEL PIT PAINED LAND RECLAMATION DIVISION <br />Anniversary Date: February 4 Colo. Dept of Natural Resources <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 />~1a(~5 <br />orrt . ~ <br />T. (e. <br />~....,, <br />