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.~ • <br />Permittee Name: <br /> <br />Broderick & Gibbons <br />M-81-307 <br />iiiiiiiiiiiuiiiiii <br />999 <br />111/112 Enclosure <br />~~~~~~~~ <br />Permit No: Fountain Pit DEC ~ 1987 <br />Operation Name: 12/03/87 <br />Anniversary Date: MINEDIAND <br />C?ECLAMATION bIVISION <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 />1/ Annual Report <br />Map <br />Remarks: No reclamation has been started as of this time. The entire <br />affected areas is being used for operations and stockpiling. <br />Approximately 30 acres have been affected to date. <br />1 <br />l ,~. ~, <br />Signature <br />1 <br />(Rev. 02/87) <br />5257E <br />