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<br />• <br />~ III IIIIIIIIIIIIIIII <br />110 and 111 Enclosure <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date: <br />James L Treat <br />M-80-041- <br />ROCK GULCH GRAV PIT <br />04/03/85 <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 50.00 Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />x Annual Report <br />Remarks: Reclamation plan remains unchanged <br />Map attached indicating usage areas. i ~'- <; ;~~ ~~ ; <br />. ~~••,~RVIRYIOAI DIVI51C~r, <br />