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~ iii iiiiiiiiuiiim <br />111/112 Enclosure <br />Permittee Name: Mountain Aggregates Const Co <br />Permit No: M-77-534 <br />Operation Name: Empire Pit <br />Anniversary Date: 01/30/88 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />!]_ <br />Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />Map <br />i~ '`'/ <br />Remarks: ~~,+~ ~,py/ [~ "/[1TrtE_ /YOOGEG9fE_ ,Ei~./D9fiL7 1.vC. <br />/J,t~ .~11.4~~ ode /~,vi/c~i~t iZ~~er ,r,..y ~/~ ?~i,eECrc;~ <br />~a i/urJ o~i oR ~~~ ~ed.5~2v aP /4~~ <br />r <br />,~ <br />,~ <br />- Pr11N6B ~AN~' <br />FiECLAMATIOid ©IVIStOni <br />(Rev. 02/87) <br />5257E <br /> <br />