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III IIIIIIIIIIIII III ~ ~ <br />--rermittee Name: Grand Junction Concre*.e Pipe <br />Permit No: 14-79-089 <br />111/112 Enclosure <br />R~C~IV~D <br />Operation Name: 23 Road Pit J UL 1 0 199 <br />Anni versary Date: 07/25/89 MINED LAND <br />RECLAMATION DIVISION <br />Please return this form with your completed Annual Report, map, and a <br />check or money order for annual fees due, payable to the Colorado t4ined Land <br />Reclamation Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: <br />Approximately 7 acres were disturbed; all have been sloped, graded and <br />topsoiled, and clover will be planted in the area. No fertilizers or soil conditioners <br />have been used. <br /> <br /> MINED LAND RECLAMATION DIVISION ~J o 010 6 5 5 <br /> 1313 Sherman, Room 215 '7~ _ ~ <br />Denver, Colorado 80]03 DATE ~ <br />~ 9~ <br /> - <br />(303 866-3567 $ <br />RECEIVED 3sv. ~ <br /> F <br />RD <br />M <br /> ~ <br />~ <br /> , <br />~ <br />oow~Rs <br />Y <br />I ~ V~Q~ ~Lwn-~~ <br />~•• ~ ~• <br /> M <br />g <br />Q <br />n <br />l <br />H <br />K <br />' <br />~9 <br />~~ <br /> dn9 p M <br />O. <br />/ <br />I ^ <br />^ U ( d <br />FDR l-Vl1 M <br /> <br /> AMOUNT OF ACCDUNT........... $ U ~ ~ ~ I <br /> AMDUNT PAID ...................5 ~l <br /> BALANCE DUE ...................5 BY <br />gnature <br />