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~_J <br />~~I ~I~ ~~~~I~~~~~~I~ <br />sss <br /> <br />110 Enclosure <br />Permittee Name: Mountain Gravel & Const Co. <br />Permit No: M-83-028 <br />Operation Name: lJallace Pit <br />Anniversary Date: 02/24/89 <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 />/" Annual Report <br />Remarks: jr~Z~ l-~~~/E ,~~1 No <br />0~~,2/.~-T7otJ5 ~.S Y~"T ~itJ Yf~G-s' ~lT.- <br />Ll.t/O ~~ ©o NDT /~,ur~~.~/~-~z~ ~.1JY77fic/CT <br />iN i~8~ <br />Signature ///G~ ~~~~-S~.O~~% ~`;~ ~ - _- <br />(Rev. 06/88) ~ _., <br />0052f ~~ d ~~ 1989 <br />;i:^,/-. <br />.gar;" .J. <br />