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+~ ! i ii iiiiiiiiiiiu ii~ <br />, <br /> ~~~~~ 1 ~®Enclosure <br />Permittee Name: Arkins Park <br />Permit No: M-85-212 <br />Operation Name: Arkins Park <br />Anniversary Date: 09/05/87 Stone Company <br /> <br />Quarries ~ ~ T ~ 198 <br /> <br />MINED LAN <br />IiECIAMATION D <br /> <br /> <br />SION <br />Please complete the following <br />reclamation data. and return this form with your fe <br />,. s and <br />Enclosed are: (Check space(s) below) <br />,~ Check or money orde <br />Division for annual r payable to Col <br />fees due orado Mined Land eclamation <br />~ Annual Report <br />' / <br />(/ Map <br />Remarks: ~~ ,v Cc ~ ~~. a.c~t-dam S[~n~ <br /> Ct.~2 <br />i ~ti <br />U <br /> - ~ , ~~ <br />h.o --r. ~ <br /> <br />~ ~ _ -~ d ~ zr~o-~-i~~u <br />7 ~ ~ ~ ~ ,~,u-~ c~ <br /> J ~ <br /> <br /> <br />Signature <br />(Rev. 02/87) <br />5257E <br />/5 s <br />~v~i <br />~~,~, <br />~1R./2e . <br /> <br />