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r _ <br />~~ ® ~II ~ I~~~~~ ~I~ <br />:~ 999 111/112 Enclosure <br />r-,.'l~' ~ '; 'air <br />`f <br />Permittee Name: <br />Permit No: Coulson Excavating Co Inc N OV G 1987 <br />_: Operation Name: ~g=g+~ Cf~_~~~ <br />_,; Anni versary Date: 't Mlr~fcJ LAND <br />11~~ ~~ ~~ ;~ECLAPAA790Pd DtVISIQN <br />Please complete the follblfir7c~a~dlreturn this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(sl below) <br />_~ Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />XX Map <br />Remarks: +eWe did npihav~ an Anneal Ranort Form---Snformation as reouested in <br />your letter is as follows: The current affected acres are the 9 acres shown on <br />the enclosed map. These acres are currently being mined. No acres have been <br />reclaimed for the year, as they are still being mined. Thus, no vegetation has <br />been planted, no fertilizer etc. has been used, and no reclamation efforts are <br />current. We expect approximately 6 acres to be affected in the coming year <br />by our mining operation. <br />(Rev. 02/871 <br />5257E <br />~~, <br />