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<br />• <br />v • <br />110 Enclosure <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date: <br />Hillco Rock Inc <br />M-82-011 <br />Hillco Rock Pit <br />06/24/87 <br />JUfI 2 21987 <br />PP.:A'~D LANE; <br />RECi AP~Ar'r:~i 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 />_~ Check or money order payable to Colorado Mined Land Reclamation <br />--- --D i-vi sin-fcr -annual--`zes Ohre-- --'-- -- - - - - - - -- <br />_1~ Annual Report <br />Remarks: __-~e (,q.(~,.P FD~.r~~.,~~ll+. T'~,..-e ~ilar/ip_~Ji,~n,i~,(r <br />pL~Anl 1Q,C (~U,T ~lf'.1n~n,~A ~(_linl I(~1.5C~RiRP~ ~'N P //-'lin.P ~ <br /> <br />Signature <br />(Rev. 02/87) <br />5257E <br />la-'J.~~ FS 7 ~I <br />~._~.~~ <br />~~ <br />