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~P `/ <br />~~`°''~~ `~ ~~110 Enclosure <br />~ : ~ _ MAR ! 5 i39,1 <br />Permittee Name: Farrington Contracting MINED ~F, <br />Permit No: M-79-034 <br />Operation Name: Gardtler Gravel Pit ~=~~ •'1AY1~'~^ <br />Anniversary Date: 05/26/90 <br />Total: E50,00 (Due on the Anniversary Date) <br />Please return this form with your completed Annual Report and a check or <br />money order for annual fees due, payable to the Colorado Mined Land Reclamation <br />Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203, <br />ANNUAL REPORT: /' (~ <br />1.1~~.y-.` Q~ M~..J L~~"~'"c il- h L~ ~ t t'. ~ y / r ~ / <br />Vim` '~e.~,~ Q `~ ~,~G~ <br />~~~~~ ~ -~ <br />1 c Lam- ~C.~"L ~-[ti ,..- <br />N <br />k-~ ~ ~}fr <br />~1; ~ ~,a-y~.~c~ Pte'°_T ~ O / 'tG'Gt S I .~.' <br />II~ <br />/~ r 1 "I <br />i <br />:• ~ - S <br />~J jggLj -'~ ~'R <br />/e-CCt5 S ~ ,p~~„ <br />i <br />4 <br />i~ <br />~ -- --- <br />. y~j <br />/~ <br />' ~\` , <br />~~ ~ ~ ~ ~~ <br />4 <br />~1 <br />-~, ~_ ~ <br />Signature <br />_~ <br />5 <br />