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., <br />'~ » - • <br />112 Enclosure <br />Southway Co <br />Permittee Name: M-8'I-153- <br />Permit No: SOUTHWAY PIT <br />Operation Name: 04 / 05 / 86 <br />Anniversary Date: <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check sF~ace(s) below) <br />~_ Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report. <br />Map <br />Remarks: <br />Signature <br />