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-~ ~ i III IIIIIIIIIIIIIIII ~ ~s <br />999 ~~-a~ <br />RECEIVE <br />Permit No: 79-215 <br />MAY 24 1982 <br />Rnni versary Date: May 22 <br />MINED LAND RECLAMATIUN <br />Cole. Dept. of Natural Resource <br />Operator: <br />Please complete the following and return this form with your fees and reclamation <br />data. <br />Enclosed are: (Check box(es)) <br />Check or money order payable to Colorado Mined Land <br />Reclamation Division for annual fees due <br />Annual Report <br />Remarks Notice of Intent to Continue tuning Opex'ations will be <br />fonaarded within 10 days. <br />Signed, <br />BY 77/~""////~,e~i <br />IaP e Sand &~C GL~~ , Inc. <br />S cY <br /> <br />