Laserfiche WebLink
<br />-~ • <br /> <br /> <br />110 and 111 Attachment <br />~.- <br />Permittee Name: Hard Rock Paving and Redi-Mix, Inc. <br />Operation Name: <br />Permit No: 77-197 <br />Anniversary Date: April 12 <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 <br />I_I Annual Report <br />Remarks: <br />Signature <br />(Rev. 5/84) <br />Doc. No. 1782 <br />