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' - 110 Enclosure <br />Permittee Name: Hard Rock Paving & Redi-Mix <br />Permit No: M-77-195 <br />Operation Name: Hard Rock 291 Pit <br />Anniversary Date: 04/21/88 _ _ <br />~ °.'~' . ~ 1 1) <br />'~ ;.' <br />`~+ - <br />Please complete the following and return this form with ydi~r fees and <br />reclamation data. app, ;; `? }gS3 <br />;~.. .., <br />Enclosed are: (Check space(s) below) ~ - <br />FtEI: i.'~~ <br />Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />Remarks: No Activity in this Pit in <br />S~ gna' <br />7295G <br />0052f <br />