Laserfiche WebLink
..~ • IIIIIIIIIIIII~~~ • <br />~. III 999 _~ <br />~~,:.~:_ <br />,. ~ ~- <br />Permittee Name: Terra Const Co ' <br />Permit No: M-82-112- <br />Operation Name: Miller Pit ~ ~ ' <br />Anniversary Date: 03 / 11 / 85 '' <br />112 Enclosure <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 .~ ./l+z ,~ ~. <br />U~~ -rs-i7 ~,w~' <br />Remarks: <br />.~ ~ ~~fy ~ <br />~~ <br />Signature <br />err ~~ <br />~tl~/~S <br />~ ~~ <br />~% <br />