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~ III IIIIIIIIIIIII III <br />999 <br />Permittee Name: L. Otto Goemmer <br />Operation Name: ROCKY FLF,T GRAVEL <br />Permit No: 82-129 <br />Anniversary Date: August 5 <br />r <br />110 and 111 Attachment ~= <br />DECEIVED <br />OCT 2w 1984 <br />GAINED LAND RECLAMATION DIVISION <br />C91o. Dept. of Natural Resources <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check box(es)) <br />~~ Check or money order payable to Colorado Mined Land <br />Reclamation Division for annual fees due <br />I^I Annual Report <br />Remarks: <br />(Rev. 5/84 <br />Doc. No. 1 <br />O <br />~/~ <br />