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i ~ III IIIIIIIIIIIII III ~ <br />111/112 Enclosure <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date: <br />Farmers Bank of Brush <br />M-80-135 <br />Headley Farms <br />10/07/88 <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 Mined Land Reclamation <br />Division for annual fees due <br />x Annual Report E'1l~4~~HF~~~ <br />0 C T 3 1988 <br />x Map <br />((;; MMMINETD LAtN1D <br />Remarks: We are still attempting to se~ILt1fie H~~dS~~$~~ms. <br />Mining operations are and will be very limited. The <br />contractor working the pit has been doing limited extraction <br />from pit #2. All areas mined in the last 5 years are to be <br />reclaimed as part of the lakes adjoining the affected areas. <br />N tG~ ~7 <br />Signature Orman R. Tisdale, President <br />(06/88) <br />0054f <br />