Laserfiche WebLink
~~ ~ ~ ~ ~ IIIIIIIIIIIIIIIIIII~ <br />999 <br />;111/112 Enclosure <br />Permittee Name: Cooley Gravel Co <br />Permit No: M-82-155 <br />Operation Name: Christian Pit <br />Anniversary Date: 02 / 22 / 87 <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 />X Annual Report <br />X Map <br />Remarks: <br />Signature ~ ~ ~ ~ (~'7 <br />ayyl • ~' 0 <br />\ ~' ~~ <br />