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<br />~~ <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />M iii iiiiiiiiiiiu iii <br />Nard Rock Paving & Redi-tdix <br />M-77-1y7 <br />Hart Rolrlilain Gravel <br />04/21/90 <br />~~ ~~~110~cT ure <br />.SAY n>~ X440 ~4~ <br />MINED LHrv` ~ <br />~ECt. AMATION nlv~ 1 ~/Of`K <br />550.00 (Due on the Anniversary Date) <br />Please return this form with your completed Annual Report and a check or <br />money order for annual fees due, payable to the Colorado Mined land Reclamation <br />Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: <br />There was a total of 29,000 tons of material mined out <br />of this pit. We are working on the map b will get it to <br />you as soon as it comes in. Hopefully in two weeks. <br />~~ <br />~~~e ~p~ <br />Signa re <br />,yJ~ ~~ ~~ <br />n~ ~ <br />i ~ .~ <br />