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<br />110 Enclosure <br />.~ <br />Permittee Name: Colo Refract Corp <br />Permit No: M_77_3?6 <br />Operation Name: Siloam Mine <br />Anniversary Date: 11/23/87 <br />~~ <br />ki 'Ty ~... - _- .... <br />aim/ 1 ~ 1°87 <br />~5i, : P; . , . , <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />xx Check or money order payable to f..olorado Mined Lard Peclamation <br />Division for annual fees due <br />XX Annual Report <br />Remarks: There has been no mining at this site during 1986-1987 and we <br />don't plan to do any mining during the coming year. The 30,000 square feet <br />of disturbed top ground that had been backfilled and covered with top soil <br />is planted with the reclamation seed mixture of 40% Blue Grama, 20% legumes <br />and 40% Wheatgrass species. <br />Signature ~ <br />(Rev. 02/87) <br />5257E <br /> <br />