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. ~, ~ ~ IIIllllllllllllll ~ <br />• 110 Enclosure <br />i <br />Permittee Name: Hard Rock Paving & Redi-Mix - .-- -- - - -~~ <br />Permit No: M-77-196 `-~ `- ~~ `'~'~~ " `~ <br />Operation Name: Hard Rok Buena Vista <br />Anniversary Date: 04/21/88 ~•,~.? ~ ~ y836 <br />i <br />,. <br />~ Please complete the following and return this form with yoy~__~~es.~.agdc~~; ° ',:i~: _~^~ <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: No Activity in this Pit in 1987 <br /> <br />S'fgnatu <br />7296G <br />0052f <br />