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• ~ III IIIIIIIIIIIII III <br />999 <br />110 Enclosure <br />-. _ <br />Permittee Name: Frank Levkulich & Ralph Knez ~~~~ ~ ~~'® <br />Permit No: M-85-082 <br />Operation Name: Rock Pit ,1Q N 5 )~89 <br />Anniversary Date: 12/30/88 MANED <br />DEC1-'aMgT1ON D,I~ ~jON <br />Please complete the following and return this form with your fees and <br />~.,;~ <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />- ~ - -Ghec-k-er--money-order payabae-#o Colerado Mined-Land Reclamation- <br />Division for annual fees due <br />Annual Report <br />Remarks: ~~//~~ j~ f~f T <br /> <br />ti D ei/' s ~i~/ /-,~ <br /> <br />(Rev. 06/88) <br />0052f <br />