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' ~ <br />~1~~~~~~®110 Enclosure <br />Permittee Name: Benson Brothers ~dpY l 5 1987 <br />Permit No: M-77-062 <br />Operation Name: Ha1lenDeck Pit No 1 MINED LAND <br />Anniversary Date: 04/02/87 RECLAMATION DIVISION <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 znnnal fees d~!e <br />// Annual Report <br />Remarks: ~~~.~ z~ ~/~ /~„~ ~~ ~ ~~.a~~~, ~' b~ <br />signature <br />(Rev. 02/87) <br />5257E <br />5/ ~ 5/x'7 <br />~1l_s~= ~ <br />F.' n ~, I <br />d i1 n L n . . /~ n <br />