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<br />~~ : ~ F"f~ ,Enclosure <br />~ ~- ',: r ,. ~~••.~ <br />Permittee Name: Gorn Construction Company ~r,~~._ qp <br />Permit No: M-79-002 (~1 Z ~~~ 1':'-9 <br />Operation Name: North Delta Pit <br />Anniversary Date: 04/11/89 ~ _. •}`' <br />~~~~ .. <br />n r_ <br />Please return this form with your completed Annual Report, map, and a <br />check or money order for annual fees due, payable to the Colorado Mined Land <br />Reclamation Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: <br />I ./tip ~,,g/ ~r;,i, <br />~~ //('r/~ (~rso "'A ~(w^ f/,r D!c[t SS•nc~ ems', , <br />5 f « F~, /. A ,.,. ~ 1~, ~., / h. <br />~~~~~-_ 9'-4-E3`i <br />Signatu <br />