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•• ~,:. ~ ; *~ iii ~~~~lii~~<<i~i <br />DEB 11 i986 <br />112 Enclosure <br />~~-}"?1 <br />Permittee Name: Lakewood Brick & Tile L~+~`eG~~'~~vji;~?!~NS~~~3u~u~~ <br />Permit No: M-79-045- e;O~V•~d~i'0 <br />Operation Name: CHURCH PIT <br />Anniversary Date: 02 / 28 / 86 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Encl/osed are: (Check space(s) below) <br />• V Check or money order payable to Colorado Mined Land Reclamation <br />/ Division for annual fees due <br />Annual Report <br />V Map <br />Remarks: We intend to continue this mining operation - <br />(1) No new stripping acres were affected in 1985. <br />(2) Not ready for reclamation <br />(3} None <br />(4) None <br />(5) None <br />(6) Not yet appropriate <br />(7) Probably none <br />Sigf~ture <br />