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0 III IIIIIIIIIIIII III <br /> 999 <br /> 110 and n 111 c� losure <br /> Permittee Name: Union Carbide Corporation <br /> RECEIVED <br /> Permit No: 77-297 <br /> Operation Name: FES 13 1985 <br /> Anniversary Date: February 1 <br /> MINED LAND RECLAMATION DIVISION <br /> Colo. Dept,of Natural Resources <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 /> Annual Report <br /> Remarks: ( (n, �.�G(1 C .G1B4,�1� � ���/Y <br /> f ma aA41'A�W l� 64-O 0-,0 el <br /> r' <br /> M <br /> Z- tl - 8 <br /> Signature <br />