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`~ r~i rl~rii~l~~l~~~ll ~' <br />• • V ` , <br />111/112 Enclosure <br />.~ ~ <br />~~~~ ~~~ <br />Permittee Name: Robinson Brick Company <br />Permit No : M-78-009 ~~ G n ~ Hoag <br />Operation Name: Apache 9 <br />Anniversary Date: 08/14/89 141W4,'~, LA!•.L` <br />Please return this form with your completed Annual Report, map, and a <br />check 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 />1. No additional acreage was disturbed during the past year. <br />There are approximately 25.3 acres of post-law disturbed <br />land. <br />2. There has been no reclamation completed during the past year. <br />3. There was no fertilizer, etc., added during the past year, <br />4. The partial reclamation is progressing as planned, <br />5. Approximately 5 additional acres are planned to be disturbed <br />next year. <br />MINED LAND RECLAMATION DI' JN N~ O 1 ~ 8 7 g <br />1313 Sherman, Room 215 b'' c~ .3 t s ~ c <br />Denver. Colorado 80203 DATE ~~ <br />(3Q3) 866-3567 nn $ <br />RECEIVED .t'l w , n ~/ ~%~ "~~ ~~Q~- <br />FROM ~ ~ , <br />c.Ci __ <br />I -7N-ol~l a -ol`I ~.~p1 CHECK <br />I FOR C/~~~ I 11 <br />AMOUNT OF ACCOUNT.... ..... $ ~~a~~ -VIQUI <br />AMOUNT PAID .... ... ..........~ ~~ ~ , . <br />L1.L --~ , i ~.. o <br />S~~ ~, <br />BALANCE DUE..... .. . <br />n <br />~~~~.~ <br />Signature <br />- 11 I <br />~ ~. v <br />,! -/ .J ~ <br />J ~+`'~ <br />