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<br /> <br />112 Enclosure <br />Permittee Name: <br />Permtt No: <br />Operation Name: <br />Anniversary Date: <br />N Colo Water Conserv <br />M-81-085- <br />Riprap Quarry Area <br />07 / 21 / 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 />_~ Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />// Annual Report <br />//~ Map <br />