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<br />Permittee Name: Phillips Stone Company <br />Operation Name: NOLAN QUARRY <br />Permit No: 81-75 <br />Anniversary Date: July 30 <br />110 and 111 Attachment <br />RE~E~~/E® <br />JUL 1 L 19-1 <br />MINED LAND RECLAMATION DIV1510N <br />Colo. Dept. of Natural r7es~urues <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check box(es))) <br />~~ Check or money order payable to Colorado Mined Land <br />Reclamation Division for annual fees due <br />~ v ' Annual Report <br />Remarks: <br /> <br />/~,C~.~_ <br />/itG ~~- /3 BJ~-G ~v ~~It.L~iu.P U' 1. <br />-t- _~-~ <br />- ~ --- - <br />(Rev. 5/84) <br />Doc. No. 1782 <br />