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<br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date: <br /> <br />Mountain Aggregates Const Co. <br />M-77-534 <br />Empire Pit <br />01/30/90 <br />. _ 111/112 Enclosure <br />Please return this form with your completed Annual Report, mom, and a <br />check or money order for annual fees due, payable to the Colorado Mined Land <br />Reclamation Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: <br />RE~EOVED <br />,~ ./~_ ~. <br />Signatur ~~-~' <br />JAN 29 1390 <br />(DECLAMATION DI~ISION <br />