Laserfiche WebLink
_..: <br /> <br />110 Attachment <br />Permittee Name• Ideal Basic industries, inc. <br />Operation Name: Boettcher Sandstone Quarry ~ ~~~;-;~ ,,• r-~, <br />Permit No: M-77-345 <br />acr I i t~88 <br />Anniversary Date: 10 / 10 / X88 <br />_ ...< <_c tarsc~ <br />4C(~! n`,ik~! fr"'..i•. (.'i~~fi,i!'1hJ <br />ti <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check box(es)) <br />I,~,I Check or money order payable to Colorado Mined Land <br />Reclamation Division for annual fees due <br />X50.00 <br />ICI Annual Report <br />I_I Map <br />Remarks: <br />L. <br />Signature <br />(Rev. 5/84) <br />Doc. No. 1805 <br />