Laserfiche WebLink
~~ • III IIIIIIIIIIIII III • ~ <br />110 and 111 Enclosure <br />Permittee Name: Larry L Chartier - <br />Permit No: M-84-040- <br />Operation Name: CHARTIER PIT ,;,J~ ~ ~ ;~~5 <br />Anniversary Date: 07 / 19 / 85 <br />GO!D fi0p1 '1 feaYUfal P~SQ!!''Ce` <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclo/sed 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 /> <br /> <br />Signatu <br />