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• III IIIIIIIIIIIIIIII <br />999 <br />• <br />110 Enclosure <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />7ota1: <br />Carder, Inc. <br />M-85-014 <br />Bonnie Earl <br />04/12/90 <br />X50.00 <br />Pit <br />(Due on the Anniversary Da <br />Please return this form with your completed Annual Report and a heck or <br />money order for annual fees due, payable to the Colorado Mined L nd Reclamation <br />Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203 <br />ANNUAL REPORT: <br />During the past year approximately 1/2 acre was <br />affected and we are estimating that the same <br />(1/2 acre) will be affected this year. We have applied <br />top soil to 1.5 acres as well as leveling and grading <br />2.5 acres. <br /> <br /> MINED ~ qND RECLAMATION pIV1510.N ~ 124 <br /> 3 Sherman, Room Z I S <br /> Denver, Colorado 80703 7 ' <br />DATE .3 ' ~ - ~s l,~ <br /> (303) 866-3567 <br />/~ S <br />RECENED <br /> r <br />~ I Il,~. oJ~' • ~ <br />FROM - <br />~ <br />l <br /> p <br />~ <br />J <br />`~ <br />~~ <br />~ ~ ~ <br /> ~ ~+-~ <br />r <br />~---- DOLLARS <br /> <br /> ,~ / m C. - - ^ CASH <br />^' ~ / 9 7YS <br />` <br />/ <br />~ ~ <br /> FOR Q/i' lir l <br />Y ~ / <br />/ <br />J <br />O M.O. <br /> AMOUNT D~NT...........$ <br />(n!¢ oul <br /> AMDUM PAID ...... ............$ <br /> r <br />BALANCE DUE ...................$ BY f L'~ <br /> <br />!l ~ ~ L C -CJ <br />Signa ure <br />~~w~ <br />