Laserfiche WebLink
<br /> <br />110 and 111 Enclosure <br />Permittee Name: Hart Rok Redi Mix <br />Permit No: M-77-195- <br />Operation Name: Hart Rok Hwy 291 Pit <br />Anniversary Date: 04 / 21 / 85 <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 />t/ Annual Report _ S.z,_ ~~' ,~,,,--_ <br /> <br />Remarks: <br />Signat <br />