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<br />r--.,. <br />Notice of Intent to Continue Mining Opera tior)s~ -. ; , '~`; <br />112 Annual Report ~ ~ <br />e~c s ~~,~ <br />Permittee Name: Centennial Materials, Inc. ~. <br />Permit No: M-82-155 ~-nnee'Land <br />Operation Name: Fountain Pit R2Cfanla;ion ~iv;,;;on <br />Anniversary Date: 12/31/90 <br />Total: b350.00 (Due on your Anniversary Date) <br />Please return this form with your completed Annual Report, map, and a check <br />or money order for annual fees due, payable to the Colorado Mined Land <br />Reclamation Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: <br />See Attached <br />Signature: ~ - Date: //- 2l - yG <br />Please list current address and phone nu~er below: <br />Please type or print <br />COntaCt Nagle: L: SCOtt Hendricks <br />Address: Centennial Materials Inc. ~~~~~~```~~J <br />2635 Delta Ilrive ' ~1n~ <br />Colorado Springs, CO 80910 ~~~"(~ <br />Phone: ( 719') 392-4207 1 <br /> <br />