REP00020 ‎(3)‎

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111/112 Enclosure
Permittee Name: Castle Concrete Company
Permit No: M -77 -209
Operation Name: Queens Canyon Quarry
Anniversary Date: 05/27/90
Total: $.00 (Due on the Anniversary Date)
Please return this form with your completed Annual Report, map, and a
check or money order for annual fees due, payable to the Colorado Mined Land
Reclamation Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203.
ANNUAL REPORT:
PLEASE SEE NARRATIVE.
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Signature