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~ . ~ ~ _ ~ iii iiiiii <br />' ~,r~~1/112 Enclosure <br />OCT 131987 <br />Permittee Name: T M Russell & R C Barger <br />Permit No: M_80-037HR ~)~~~ ~~~ <br />Operation Name: Ingleside Quarry CRECLAIyAI'ION DIVISION <br />Anniversary DateFO/01/87 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />X Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />Map <br />Remarks:0ur quarry has been inactive this past year. and <br />we expect to remain in-active for the next year. Theref~ra. <br />we are requesting temporary cessation status. Please inform <br />us if fee enclosed is not correct. <br />Thanlt s <br />Si ~rv3ture <br />(Rev. 02/87) <br />5257E <br />