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..>> <br />Permittee Name <br />Operation Name: <br />Permit No: <br />• <br />Anniversary Date: nP~Pmr,Ar t~ <br />iiiiiiiiiiii ~~. <br />110 and 111 Attachment ~ ` <br />~ECEIV <br />ED <br />JAN 08 ;gs5 <br />tAINED LAND REQIAMAiION DIVISION <br />Colo. Debt. 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 />I I Check or money order payable to Colorado Mined Land <br />Reclamation Division for annual fees due <br />~ Annual Report <br />Remarks: <br />A) No land has been affected in the year 1984 so map will remain the same. <br /> <br />B) Approximately ~ acre will be disturbed in the year 1985. <br />C) Approximately 1/3 acre of overburden will be backfilled and contoured <br />for reclamation in 1985. <br />D) We expect to start mining January 15, 1985. <br />(Rev. 5/84) <br />Doc. No. 1782 <br />C~~ <br />/~/~s <br />qm. s~ ~~ <br />