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,, <br />111/112 Enclosure <br />Permittee Name: ~ ~ ~~ ~D <br />Permit No: Lakewood Brick & Tile Co ~~ <br />Operation Name: M-79-045 FE8 2G 1987 <br />Anniversary Date: Church Pit <br />02 / 28 / 87 MINED LAND <br />RECLAMATION DIVISION <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 />L/ Annual Report <br />Map <br />Remarks• we intend to continue this mining onexation - <br />(1) No new stripping acres were affected in 1986. <br />(2) Not ready for reclamation <br />(3) None <br />(4) None <br />(5) None <br />(6) Not yet appropriate <br />(7) Probably none <br />a./ a.6 SFr'/ <br />~~• <br />}-`CQ <br />~- <br />