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<br />110 and 111 Enclosure <br />• Permittee Name: '~~r ~~~~~® <br />Permit No: James L Treat <br />Operation Name: M-80-041- <br />Anniversary Date: ROCK GULCH GRAV PIT QUG 1 2 ~s <br />04/03/86 <br />MINED LMND REGt,A~~ATIGN <br />~i~l~~,~6~Y. 01 N~1Uf8~ H8601i[Cbi <br />Please complete the following and return this form with your n <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />x $50.000heck or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />x Annual Report <br /> <br />C <br />Remarks' Reclamation plan remains unchanged <br />Map attached indicating usage areas. <br />Signatur <br />~"~ ~ 3 ~~ <br />~~~-~ <br />~~~ <br />