REP39716

• Permit No: M1984168
• IBM Index Class Name: Report
• Doc Date: 10/25/1989
• Doc Name: 111 112 ENCLOSURE
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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111/112 Enclosure
Permittee Name:
Permit No:
Operation Name:
Anniversary Date
Williams Fork Company
M-84-168
Williams Fork Pit
10/25/89
Please return this form with your completed Annual Report, map, and a
check or money order for annual fees due, payable to the Colorado Mined Land
Reclamation Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203.
ANNUAL REPORT:
Attached as Williams Fork Company letter
(October 16, 1989)
Enclosed are: (Check space(s) below)
X Check or money order payable to Colorado Mined Land
Reclamation Division for annual fees due: #044458
X Annual Report: (as above)
X Map: Attached Exhibit C (Revised 10/16/89)
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Signature