REP16026

• Permit No: M1979195
• IBM Index Class Name: Report
• Doc Date: 1/26/1990
• Doc Name: ANNUAL REPORT ROAD RUNNERS REST II PIT SUBURBAN SAND & GRAVEL MLR FN 79-195
• From: SUBURBAN SAND & GRAVEL CO
• To: MLRB
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

i ~ ~ •
112 Enclosure
Permittee Name: Suburban Sand and Gravel
Permit No: M-79-195
Operation Name: Road Runners Rest II Pit
Anniversary Date: 01/28/90
Please complete the following and return this form with your fees
and reclamation data.
Enclosea are: Check space(s) below
XY~ Check or money order payable to Colorado Mined Land Reclama-
tion Division for annual fees due
XY` Annual Report
Map
Remarks:
MINED ~ AND RECLAMATION
3 Sherman, Room ZIS

veneer, Colorado 8070 _
DATE ~
7 (
~l
[phone] ..
o
1915
FROM ED e) c
1 1 ~,1 ~~~-) ~] ~ G $ ~O.

FOR
_ ^ CASH
~ ECK
^ O
.
AMOUNT OF
AMOUNT PAID COUNi...........$ ''^^ I1I
QII~ ~ou`
. ..................$
BALANCE DUE . ..................$ BY