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• iii iiiiiiiiiiiiiiii • <br />999 <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date: <br />Eagle-Gypsum Ltd <br />M-84-041 <br />Eagle-Gypsum Mine <br />12/24/87 <br />111/11_2 Enclosure <br />~~~~~~~ <br />DEC ?.~ 1987 <br />flnlfvED I.F.~C <br />C~ECLAMA71O1V DIV;~I{~R <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 />s Map <br />Remarks: <br />Copies of the report and map are being sent to the BLM and the <br />Comunity Development Depar ment of F.agle Cnnnty_ <br />JcQo wr~C !'7 f~'Y+1 I~l/9- <br />(Rev. 02/87) <br />5257E <br />