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-- #~ III IIIIIIIIIIIIIIII ~ <br />999 N ~ ~ 0- <br />110 and 111 Enclosure ~~~ <br />Permittee Name: Dilley's Sand & Gravel ~~lr~l~/~® <br />Permit No: 81-4 <br />Operation Name: AYERS PIT Fig Z ~ 1985 <br />Anniversary Date: February 2 <br />MINED tANp RECIAMATION DIVISION <br />Colo. Dept of Natural Resoa c~ <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check spac:e(s} below) <br />'~ Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />S, . '~ re. ~c~~ <br />Sfanature <br />