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<br />• # • • <br />112 Enclosure <br />Permittee Name: Loveland Ready Mix <br />Permit No: M-74-069- - ~~ ~ r,~nC <br />Operation Name: GRAVEL PIT ~~. •' -- <br />Anniversary Date: 07 / 31 / 85 <br />ern ~ ~. ~r ~-n ~ <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 />X Map <br />Remarks: Please note that the map supplied is essentia]ly an update of the <br />Reclamation Map originally prepared. The preparing engineering firm remains <br />the same, although its name was changed approximately 2-1/2 years ago. <br />Signature <br />