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r <br />Permittee Name: Summit Brick & Tile <br />Permit No: 77-322 <br />Operation Name: Beaver <br />~ III IIIIIIIIIIIIIIII <br />110 a`n~d 111 Enclosure <br />L l ~ l! L.~ ! i~t , .~. d <br />Anniversary Date: February 17 f11NEDLtiiJD6;.^,i~i~~i~C., •~i~,i~;ON <br />Cdo. Deft r1 ~,a, „_ ,,,,.,,,,~~t <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />x Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />x Annual Report <br />Remarks: <br />A). During the 7th year there was about '~ acre disturbed. <br />B). It is estimated that about ; to '~ acres will be disturbed during the next year. <br />C). No land was reclaimed during the last year of operation although reclaimation <br />work has been started on about '; acre. <br />-~ <br />. 4-- . <br />Qol - cti«K # ~a(9a <br />Signature ~ ~Jos~h C. welte <br />?~6~~5 <br />GYY~ . ~' <br />