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<br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversar Date• <br />• <br />Summit Brick & Tile <br />M-77-321 <br />Native/Pierre Mine <br />02/17/90 <br />• l~i~llriiliiil~~ii~ <br />110 Enclosure <br /> <br />FEB 1~ lpgp <br />y MINED LAND <br />(?ECLAMATION aIVISIG;.) <br />Please return this form with your completed Annual Report and a check or <br />money order for annual fees due, payable to the Colorado Mined land Reclamation g 5 <br />Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. ~a <br />~ ~•6v <br />ANNUAL REPORT: <br />A.) Land affected during the 12th year - 0 acres. <br />B.} Land anticipated to be disturbed during the next year is 1/8 to 1/4 acre. <br />C.) No land was reclaimed during the last year. <br />~ a , <br />Si gnat ie Joseph C, welte <br />