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• • iii iiiuiiiiiiii iii <br />_ 999 <br />~~~~~~ <br />112 Enclosure <br />MAY 271986 5/23/86 <br />Permittee Name: <br />Permit No: Castle Concrete CgVIIVED I_ANJ !~fCLAM4ATi~}P1 <br />Operation Name: M-77-213- CIO. Dept. et f~:'!:'~1! RP500`~S <br />Anniversary Date: CASTLE SAND PIT <br />05 / 27 / 86 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />X Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Included in Castle <br />Check No. 6265 <br />X Annual Report for $2,100.00 <br />X Map <br />• Remarks: <br />CASTLE CONCRETE COMPANY, <br />a Colgrado Corporation <br />• ~~~ ~~ = <br />Signature G. K. D1org , Vice PresiT`dent <br />s/a~/s'6 <br />gn-~=~` <br />~; /~ <br />_~ <br />