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- + iii iiiiiiiiiiiiiiii • <br />999 ~ p <br />~~~~ `•"~ ~® 112 Encl osure <br /> <br />Permittee Name: U S Soil Cond Co S EP 1 ~ ~9a6 17 September 1986 <br />Permit No: M-79-206- <br />Operation Name: MAVERICK PLACER ~i~e'F~ LA~U REClAPdA~lO,~ <br />Anniversary Date: 06 / 16 / 86 G~l~ Dept ut y2tura)(a~s~ur:e; <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (CFieck space(s) below) <br />XX Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />XX Annual Report <br />XX Map <br />Remarks: During the time of 1981 to the present, only 6500 tons have been <br />excavated within our open pit mine site of 24.94 Acres (original permitted area). <br />No additional acres have been affected <br />No Acres have been reclaimed. <br />No additional acres will be affected in the coming year. <br />ig ature J.E. Lionelle as Personal Representative for the Estate <br />of J.H. Lionelle president of U. S. Soil Conditioning Company <br />~1'l ~ y78~ <br />°lY~ S~ - <br />/~ <br />