Laserfiche WebLink
,. <br /> <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />• iii iiiiiiiiiiiiiiii <br />110 Enclosure <br />• <br />John G. Horvath <br />M-77-546 <br />Horvath Pit No 1 <br />OIj26/88 <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 pdyable to Colorado Mined Land Reclamation <br />- Bivisiorrfor-annna~-fees-dae---- "--` ---- - <br />Annual Report <br />~~~~~ <br />gnature <br />(Rev. 06/88) <br />0052f <br />JUL 271988 <br />MINED LAi~' <br />RECLAMATION L`JIVi$IgN <br />~~ <br />