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. . '• i <br />C~ <br />112 Attachment <br />Permittee Name• Northern Colorado lJater Conservancy District <br />Operation Name: WINDY GAP RIPRAP <br />Permit No: 81-85 <br />Anniversary Date: July 21 <br />Operator: <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 RECEIVE D <br />_ JUL 16 1984 <br />I_I Annual Report MINED LAND RECLAMATION DIVISIOtI <br />Colo. Dept. of Natural Resources <br />I_I 'Map <br />Remarks: ~QT ~ Mn~kc F'd10~a <br />Signature <br />(Rev. 5/84) <br />Doc. No. 1805 <br /> <br />