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• <br />Red Mountain Clay Co DEC 719$7 <br /> <br />Permittee Name: M-77-317 RAINED LAND <br />Permit No: Cedarwood Clay Min~ECi~MATiC)N DIVi~iOtJ <br />Operation Name: 12/15/87 <br />Anniversary Date: <br />110 Enclosure <br />Please Complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />Remarks: <br />Signature <br />(Rev. 02/87) <br />5257E <br />