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_` . <br />Notice of Intent to Continue Mining Operations <br />112 Annual Report <br />Permittee Name: Eagle-Gypsum Limited <br />Permit No: M-84-041 <br />Operation Name: Eagle-Gypsum Mine <br />Anniversary Date: 12/24/90 <br />Total: E350.00 (Due on your Anniversary Date) <br />Please return this form with your completed Annual Report, map, and a check <br />or money order for annual fees due, payable to the Colorado Mined Land <br />Reclamation Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: <br />i , /~ <br />// <br />Sigf~ature / ` <br />