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~, M N <br />Permit No: 77-20 <br />Anniversary Date: <br />Operator: <br />Pfarch 28 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check box(es)) <br />Check or money order payable to Colorado Mined Land <br />® Reclamation Division for annual fees due <br />Notice of Intent to Continue Mining Operations <br />Remarks <br />A ached is a check for $ .00 to cover the annual fees. Please <br />gn below to indicate receipt of this Notice of Intent to <br />Continue and the check, and return one copy of this letter to ua. <br />Check No. from Delta Sand ~ Gravel Co. RECEIVED <br />this day of 1982 <br />COLORADO MINED LAND RECLAMATION BOARD <br />By <br />