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. - , - ~ ~ ~IIIIIIIIIIIIIIIIIII <br />Permit No: 77-321 <br />Anniversary Date: Februaru 17 <br />Operator: <br />Please complete the following and return this form with your fees and reclamation <br />data. <br />Enclosed are: (ChecF: box(es,•) <br />Check or money order payable to Colorado Mined Land <br />® Reclamation Division for annual fees due <br />Annual Report Notice of Intent to Continue Mining Operations; <br />~Ig~~~ <br />Remarks <br />~ ~ ~' a. land affected during 4th year - 1/8 acre <br />b. land to be affected flurine the fifth vear is <br />anticipated to be 1/8 to 1/4 acre. <br />c. no land was reclaimed during the last year. <br />Signed, <br />THE SUMMIT PRESSED BRICK & TILE CO. <br />/~z <br />Jo a C. Welte <br />M ger, Vice-President <br />~~'~~~°F'v ~~ <br />Mr.R 2 2 1982 <br />N91NtD LAP!U NECLAMATIQN <br />Colo. Dept. of N~3tural Resource <br />