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• <br /> 112 Attachment <br /> Permittee Name: Union Carbide Corporation <br /> Operation Name: MAYBELL <br /> Permit No: 77-286 <br /> Anniversary Date: July 2 <br /> Operator: <br /> Please complete the following and return this form with your fees and <br /> reclamation data. <br /> Enclosed are: (Check box(es) ) <br /> ICI Check or money order payable to Colorado Mined Land <br /> Reclamation Division for annual fees due <br /> IXXI Annual Report <br /> I,I Map <br /> Remarks: Union Carbide requested a site inspection in the fall of 1983 (letter) <br /> and again in the spring of 1984 (telephone) to determine if any additional <br /> reclamation is necessary and, if not, the release of the surety bond. <br /> Signature G. R. DeHollander <br /> Environmental Coordinator <br /> (Rev. 5/84) <br /> Doc. No. 1805 <br />