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<br />Permittee Name: N Colo Water Conserv <br />Permit No: M-81-085- <br />Operation Name: RIPRAP QUARRY AREA <br />Anniversary Date: 07 / 21 / 85 <br />112 Enclosure <br />~ f' . <br />.. ~ <br />,~i115 <br />A'!rJ?D LAND <br />RE~L.'.rolAT1ON ~~`11^I^"' <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 Plined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />Map <br />Remarks: Check enclosed. Annual Report and map to follow <br />Signature <br />