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a <br />• • 1 , • <br />III IIIIII III "II'I' <br />.... . u~. ~ V 7U re <br />Permittee Name: Colo Refract Corp <br />Permit No: M-77-326 <br />Operation Name: Siloam Mine <br />Anniversary Date:ll/23/86 <br />e , ~(~~ ~ <br />,;~~~ <br />R Ci : ~ <br />Fc M~,y a. <br />Gg~,,c Fp -' . <br />Please complete the following and return this form w;~~M~~v fees and <br />reclamation data. Y9~c,~^ <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 />X Annual Report <br />Remarks: We did some mining at this site in September, 1985 and finished <br />in December, 1985• That mining project did not disturb any top ground. <br />Only rock has been removed to uncover the clay. The previous 30,000 square <br />feet of disturbed top ground had already been backfilled, covered with top- <br />soil, and planted with the reclamation seed mixture of 40% Blue Grama, 20% <br />Legumes, and 40% Wheatgrass species. <br />Signat re <br />~~~ <br />