Laserfiche WebLink
I~ ~ ~ <br />,_ ..- <br />112 Attachment <br />Permittee Name: Geor e S eer <br />Operation Name: ~= ~ ~,~ ~ ~ . <br />Permit No: 83•-176 <br />Anniversary Date: December 9 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Ch ck box(es)) <br />I Check or money order payable to Colorado Mined Land <br />Reclamation Division for annual fees due <br />Imo' Annual Report <br />I_I Map <br />(Rev. 5/84) <br />Doc. No. 1805 <br />