Laserfiche WebLink
+: <br /> <br />Permittee Name: Southwest Readv-Mix. Inc. <br />Operation Name: A am r;a Pit #2 <br />Permit No: M-83-:175 <br />Anniversary Date: November 25, 1983 <br /> <br />110 and 111 Attachment <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check box(es)) <br />ICI Check or money order payable to Colorado Mined Land <br />Reclamation Division for annual fees due „ <br />dz' -~1'/~~ CSC 'F,~755 <br />~-~ Annual Report <br />Remarks: X11,', /1 hr11 ~~/"v1. n~Yf.a AS'C Mrli n. ~"[xA Q~ACrJ -,izf't ni(<O~//l ,'t~[r.; <br />~.-1 rr L r ti i~n SaE. JA _/r .)!; ,? ,~ ~. 1Ff(A +-ri nyilw ~7 ,~i ~/ ~r /c._ r1 /r lfi s <br />,. „_..( .. .._ .~.__ ~J. -/-. ~. r tl1r. .. ,fir ,r .. ., Y"._.., ~ .. .. ~ ~i <br />U <br />Signatu <br />(Rev. 5/84) <br />Doc. No. 1782 <br />