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<br />` ~.I ~~ M E ® 110 Enclosure <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Charles w. Houchin JAN 17 1~9D <br />M-80-249 MINED LAND <br />Houchin Gravel Pit RECLAMATION DIVISION <br />02/04/90 <br />Please return this form with your completed Annual Report and a check or <br />money order for annual fees due, payable to the Colorado Mined Land Reclamation <br />Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: <br />/-/S-JI> <br />. , <br />t% ~~C~r~ ~! /it.2 /f Yl~r ~ iJ ZG~ ~i/_ jc2`z-~ ~'Jfi~' ~ /~Y ~72~-Gt'. <br />L"v ~ ~ <br />~~ J ~- <br />Signature <br />