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<br />Notice of Intent td Continue Mining Operations <br />. 112 Annual Report • <br />Permittee Name: <br />Permit No: ' <br />Operation Name: <br />Anniversary Date: <br />Total: <br />Richard E. Curry <br />M-77-205 <br />Tri-County Gravel <br />11/29/90 <br />5350.00 (Due on your Anniversary Date) <br />Please return this form with your completed Annual Report, map, and a check <br />or money order for annual fees due, payable to the Colorado Mined Land <br />Reclamation Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: <br />~~~~ ~. <br />Signature <br />If your address has changed in the last year please inform this office below: <br />