Laserfiche WebLink
<br />• <br />110 Enclosure <br />Permittee Name: R E C E I V ~D <br />Permit No: F & K Holsinger APR Q ~ ~~ <br />Operation Name: M-80-052 <br />Anniversary Date: Holsinger Gravel Pit ~~ ~~~ <br />04123/87 <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 payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />(Rev. 02/87) <br />5257E <br />~/6/~~ <br />~Yn • c'8 °~ <br />~ re <br />