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;~ ~ ~ ~ ~ III IIIIIIIIIIIII III <br />~r~ 110 and 111 Enclosure <br />s <br />Permittee Name: Mountain Aggregates Construction ~'~ ~ ~~' <br />Permit No: M-78-279- <br />Operation Name: GOLDMAN GRAVEL PIT DEC 1 7 1986 <br />Anniversary Date: 11 / 22 / 85 <br />MINED LAND <br />RECLAMATION DIVISION <br />Please complete the following and return this form with your fees and <br />reclamation data. ~ 5C)~~ <br />Enclosed are: (Check space(s) below) ~~.3` <br />Check or money cyder payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />~~ Annual Report <br />~~~L-~~ <br />ignature <br />ra~~~ (~6 <br />~; h <br />