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•~ •• iii iiiiiiiiiiiiiiii <br />110 Enclosure <br />Permittee Name: Delta Sand & Gravel ~.~~g ~,;`'-~~ <br />Permit No: Id-77-022 ~ `~~~' - ~ <br />Operation Name: Pit No 3 " 3 1989 <br />Anniversary Date: 03/28/89 (:IAR ~~ <br />P1 ease complete the fol 1 owl ng and return thi~s~eb~~w~`~I{`-3)~a~l F2els"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 />~~ <br />Remarks: <br />MINED LAND RECLAMATION DIVISION ~ N~ O O 9 H H 7 <br />1313 Sherman <br />Denver, Colorado 80103 DATE ~3 - Z 3 ~s~ <br />(303) 866.3567 $® <br />RECENED ~~~" ~ do ~. <br />F'R~OMI1 ~1 I "'~~~LLL ,-t <br />'-H .li'C~ f d~ O ~4~~i DDLLARS <br />FOR ~ / I / / "d!~' .~ o V ^ MO. <br />AMOUM OF OUNT...........$ ~'^ JO I <br />AMOUNT PAID ...................$ Il `.IJA <br />0 <br />BALANCE DUE .............. ....$ BY <br />Signature <br />