Laserfiche WebLink
I <br />. . <br /> <br />Permittee Name: Robinson Brick Co <br />Permit No: M-81-148- <br />Operation Name: CHIEFTAIN SOUTH MINE <br />Anniversary Date: 11 / O1 / 85 <br />DEC 2 01985 112 Enclosure <br />~ofoFuo~pof ilia u~al ausau c6s~ <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 />Map <br />Remarks: <br />Signature <br />