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iii iiiiiiiiniiiiii ~ <br />110 and 111 Enclosure <br />Pernittee Name: Chaffee County R E C E I V E D <br />Permit No: M-78-I92 <br />operation flame: Pit No 6 1990 <br />Anniversary Date: January z JAN 8 <br />MINED LAND <br />RECLAMATION DIVISION <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />x Annual Report <br />Rzmark5: This pit has had minimal use for the past two (2) years. It <br />is used primarily for pit run material. Some recontouring <br />has been done, but no reseeding, although natural revegetation <br />is taking place. <br />GCvM~~ <br />Signature ~ <br />~- <br />