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<br /> <br />112 Enclosure <br />Permittee Name: United Sand & Gravel <br />Perini t No: M-8'I -058- ~ ~® <br />Operation Name: Debeque Pit ~+1 <br />Anniversary Date: 09 ! 07 / 86 ~~~'/'1 <br />MI~-Fl3 ~~'~61988 [~' <br />Please complete the following and return this form with your fe~s'lan~ ~~ (~ n <br />reclamation data. bit ~f'vw:~uf~~a~(L hl <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 />y Annual Report <br />Map <br />Remarks: <br /><~ <br />