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y <br />~~. <br /> <br /> <br />iii iiiiiiiiiiiiiiii <br />Permittee Name: Mountain Aggregates Construction Co. <br />Operation Name: Goldman Gravel Pit <br />Permit No: 78-279 <br />Anniversary Date: November 22 <br />• <br />110 and 111 Attachment <br />RE ~~ <br />CEIVED`^ <br />NOV 0 8 1984 <br />PAINED LAND RECLAMATION DIUISION <br />Golo. Dept. of Natural Resources <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check box(es)) <br />\l~ Check or money order payable to Colorado Mined Land <br />Reclamation Division for annual fees due <br />I_I Annual Report <br /> <br />Sitrhature <br />(Rev. 5/84) <br />Doc. No. 1782 <br />