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<br />• • III IIIIIIIIIIIII III <br />110 Enclosure <br />Permittee Name: Summit Brick & Tile R E C E I V E D <br />Permit No: M-77-321 <br />Operation Name: Native/pierre Mine <br />Anniversary Date: 02/17/II7 APR Q ? 1987 <br />MINED LAND <br />RECLAMATION DIYI910N <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />X_ Cheek or o~oney urder payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />X Annual Report <br />Remarks: <br />Land affected during 9th year - 1/8 acre <br />B). Land anticipated to be disturbed during the next year is 1/8 to 1/4 acre. <br />C). No land was reclaimed during the last year. <br />Signature ~ <br />sevh C. Welte <br />(Rev. 02/87 <br />5257E <br />~~7~~~ <br />~.~-~ <br />~' ~~ <br />