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i <br />Permittee Name: Charles Devereaux <br />Permit No: M-78-221- <br />~ iii iiiiiiiiiiiu iii <br />110 and 111 Enclosure <br />Operation Name: K-bar-t Pi t AUG 2 01986 ~ <br />Anniversary Date: 08 / 23 / 86 <br />MINED LAND RECLAMATION <br />Colo. Dept. of Natural Resources <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />~_ Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />_~_ Annual Report <br />Remarks: N. material wac removed frem t?iia nit in the an at aear_ <br />Signature <br />~j ~(ao~~6 <br />/'` ~ ~ <br />~~~~ <br />