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<br /> <br />t <br />IIII IIIII111111N111 <br />i .. <br />" ~" 1]0 Enclosure <br />Permittee Name: Summit Brick & Tile fr R ~ ~ i~~9 <br />Permit No: M-77-322 <br />Operation Name: Beaver Crk Clay Mine ~ • <br />Anniversary Date: 02/17/89 -_' - <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />x Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due $50.00 <br />x Annual Report (See Below) <br />Remarks: <br />A). During the 11th year there eras about 1/16th acre disturbed. <br />B). It is estimated that 1/16 acre will be disturbed during the next year. <br />C). No further land was reclaimed although 110 seedlings were planted on the <br />reclaimed area. <br />Signature <br />(Rev. 06/88) <br />0052f <br />C. Welte <br />