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<br /> <br />yay <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Summit Pressed Brick & Tile Co <br />M-85-203 <br />Edmundson Clay Mine <br />05/09/87 <br />10 Enclosure <br />REC ~VED <br />MAY 11987 <br />MINE LAND <br />~ECLAMAT ON DIVISION <br />Please complete the following and return this form with your fees nd <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />g Check or money order payable to Colorado Mined Land Recl <br />Division for annual fees due <br />X Annual Report (See Belaa) <br />amation <br />1st year. <br />Remarks: <br />A). Due to business conditions, no land was affected during <br />B). It is anticipated that 1/8 to 1/4 acre will be disturbed d~ring the <br />next year. <br />Cl_ No land was reclaimed during the last Year. <br />Signature <br />(Rev. 02/87) <br />5257E <br />C. R~elte <br />' ~ ~ <br />~ `~ ~. <br />l~1 -` "-. ~`~ <br />r <br />(.[ <br />~_ <br />