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~~ <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Valco Inc <br />M-77-572 <br />Lamar East Pit <br />03/22/87 <br /> <br />R~Q~~1/S~D <br />MAR ;,31987 <br />MINED IAND <br />RECLAMAYION DIVISION <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />v~ Check or money order payable to Colorado Mined Land Reclamation <br />r Division for annual fees due <br />Annual Report <br />(/~ Map <br />Remarks• /(~02J~ <br />Signature <br />(Rev. 02/87) <br />5257f <br />