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<br />r i <br />11.' Attachment <br />Permittee Name: Ideal Basic industries, Inc. <br />0 eration Name: ~ ~* ~~°ti= " ~~ t:° + <br />P Goodwin Gypsum 9uarry ~ , ,._,r .,~ 'x-. ~ w, 3fi <br />Permit No: M-77-3116 f ). ~ 1~~8 <br />Anniversary Date: 10 / 10 / X88 ,, ,,,;~~,, <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check box(es)) <br />IX I Check or money order payable to Colorado Mined Land <br />Reclamation Division for annual fees due <br />X350.00 <br />I X I Annual Report <br />I!I Map (No map is included since there has been no change <br />since the 1986 Annual Report) <br />Remarks• <br />~. <br />Signature <br />(Rev. 5/84) <br />Doc. No. 1805 <br />