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• <br />Permittee Name: Ideal Basic Industries, Inc. <br />Operation Name: Slab Ca~oa Limestone Quarry <br />Permit No: 77347 <br />Anniversary Date: Ootober 10, 1986 <br />11~ Attachment <br />Please complete the following and return this form with your fees aid <br />reclamation data. <br />Enclosed are: (Check box(es)) <br />ICI Check or money order payable to Colorado Mined Land <br />Reclamation Divisiqn for annual fees due <br />$350.00 <br />IA I Annual Report <br />1~1 Map <br />Remarks: <br />ALL, <br />~, <br />~ ~~ <br />., <br />r,.'•. <br />Signature <br />(Rev. 5/84) <br />Doc. No. 1805 <br />