REP28012

• Permit No: M1985173
• IBM Index Class Name: Report
• Doc Date: 12/8/1989
• Doc Name: 111 112 ENCLOSURE
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

Permittee Name:
Permit No:
Operation Name:
Anniversary Date
• _ _ . ~. • iii iuigiiiiiiim
~~~ Encl osure
Herman Rother DEC ~ 199
M-85-173 MINED U1a`:J
Rother Gravel Pit ~E~Lq{vt.ATlnhf JIV!~IC1~J
02/03/90
Please return this form with your completed Annual Report, ~, and a
check or money order for annual fees due, payable to the Colorado Mined Land
Reclamation Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203.
ANNUAL REPORT:
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Signature