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~ III IIIIIIIIIIIII III <br />I~ <br />112 Attachment <br />Permittee Name: Mountain Aggregates RECEIVED <br />Operation Name: Empire Pit JAN 1 4 19135 <br />i Permi t No: 77-534 MINED IAND RECLAMATION DIVISION <br />Colo. Dept. of Natural Resources <br />Anniversary Date: Januarv 30 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check box(es)) <br />IX I Check or money order payable to Colorado Mined Land <br />Reclamation Division for annual fees due <br />ICI Annual Report <br />I_I Map <br />Remark5• We have a new mailing address: Mountain Aggregates, Inc. <br />P.O. Box 535 <br />Castle Rock, Colorado 80104 <br />Signature / <br />(Rev. 5/84) <br />Dac. No. 1805 <br />