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iii iiiiiiiuiiiiii <br />Permittee Name: <br />Permit No: <br />Bumgarner Ranches <br />M-80-027 <br />110 Enclosure <br /> <br />Operation Name: Brig Pit ~~~ ~4?~ -~_ <br />Anniversary Date: 02/02/89 ~~ ~~ <br />~~ e ~ a ~qo~ <br />Please complete the following and return this form with you s'~itdr_" <br />~~~gar~ <br />reclamation data. /;;;.~,._f _, ` <br />r f ,i,~ 1 <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 />/ Annual Report <br /> <br /> <br />0052f <br />