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Ill IIIIIIIIIIIIIIII • • • ~ <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date: <br />110 Enclosure <br />First Bentonite Company Colo. <br />M-77-231 <br />Lbc Bentonite Pit <br />08/23/88 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br /> <br />/ Check or money order pdyable to Colorado Mined Land Reclamation <br />Division for annual fees dua <br />/ Annual Report <br />Remarks: ArVNU4c. +PEr~oRT <br />Out P2oJucT ~ S d~tSEO ow 7HE ,\9a.e,c~Lr~~~c. ~uV <br />wgrek Co,vSE~2uAT~oN lUfeO , So 7Nt JEMgNa e5 gGW.4y$ LoW <br />.~ - ~1 /~{„vpag,) ToN 5 pe,2 yG,y,e W6 ry1~Nr ,4~11~ CoN rinJu[, <br />Yo ~~/ A.,I p2E.q us 8 il 7 HE CAST /o y6ABs ~ W G N.o~~ AFi-rcrcD <br />ryo NEw Ga.vO ~ /9an~ t~Ror3s3c.V wo~vt FoQ qT LCwST SvG <br />C,.~eC,uiGy ySinrle y yG12+'1,nCJ A¢ra, WE yQe' +ti T/t~[ ~Roe£SS <br />OF 2EcG9„e+,~vb Ay oWEL M,NE 7N,4T D~V'eS aqc~ TO l9Y8• ARC 'u~ <br />iN yuL 3 yC A•~~ (eE/J.ti4 QLScx..r5, 7o ONre 30o reee s R'An.rdy <br />1..n4Tc2 a~FC 5 ANt> Co4NSS 528) . //N9 aEdiJ /NSPECjPr~ ,qwD <br />~?~RouE~ dy a.L. n9. C,vno.v G,T~/. <br />/Jo~L LJ.tclr+l~ Ot~J~- - o-}'Lwlcr t,QS T' ~^~YU.v,% <br />Signature e y <br />(Rev. 06/88) ~~~~~ ~J ~~ <br />0052f <br />n e ~ AU G 171988 <br />MIND LAND <br />DECLAMATION DIVI310N <br />