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.. t~ ~ • <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date: <br />A&PMosch <br />M•-82-07 5 <br />Phoenix Mine <br />On/14/87 <br />110 Enclosure <br />JUL 101981 <br />t~ECI MIATIOIV Pill o <br />DIVI~ipAy <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />X Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />X_ Annual Report. <br />Remarks: Notice of Ini;ention to Continue Mining Operations is attached. <br /> <br />Signature <br />Patricia C. Mosch <br />(Rev. 02/87) <br />5257E <br />