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. ... <br />. ~ ~ ~ ~I I I I~ I I~ I I~ ~~~~ ~I~ <br />110 and 111 Enclosure ~~ <br />Permittee Name: Chaffee county ~ ~ ~ ~ ~ '~' <br />Permit No: M-)8-192 <br />operation Name: pit No. 6 (Buena Visa) ~iIAR 301987 <br />Anniversary Date: January 2 <br />AAINtD LAND <br />(itCLAANATiON DIVISION <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />x Annual Report <br /> <br />Remarks: This oit has had minimal use the past few years. IC <br />has been used for some material needed in minor road repair work, <br />however the quantity of material excavated has not exceeded 500 ton. <br />Some resloping and contouring has been done when material has been removed. <br />o~ ate/ `a~. ~w"^r~ ~, i~.~l f ~G~/ L~ <br />Signature 4 <br />4`lrlts'7 <br />~`' ~' ~ <br />. ire <br />