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<br />Permittee Name: Cooley Gravel Company <br />Permit No: M-76-009HR <br />Operation Name: Menzer Quarry <br />Anniversary Date: 06/23/89 <br />n <br />sss <br />ll1i112 Enclosure <br />~~ <br />i ~ ,, .~09 <br />Please return this form with your completed Annual Report, map, and ,~ <br />check or money order for annual fees due, payable to the Colorado Mined Land <br />Reclamation Division, 1313 Sherman Street, Room 215, Denver, Colorad~~ 80203. <br />ANNUAL REPORT: <br />GGC~GGGIC~ ~(~°y~ ~~,~r ~~IQ~U ~=~~.~~y~~ <br />/l~~ CL/1/~C~CC ~~~'e / 5 ~>~ //~ ~'rGUCe l ~7~E'~ ~" ~/~~~~ <br />Signature <br />