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<br /> <br />. ~ <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date: <br />Total: <br />~ iii iiiiiiiiiiiu iii ~ <br />999 ` <br />Notice of Intent to Continue Mining Operations <br />' 112 Annual Report <br />Bear River Sand & Gravel <br />M-86-040 <br />Bear River S & G <br />11/20/90 <br />..'~ . , _ R.,t <br />OCT 1 7 1990 <br />Mined Larid <br />Reclamation fJivision <br />E350.00 (Due on your Anniversary Date) <br />Please return this form with your completed Annual Report, map, and a check <br />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 />'/ ~ - A ( /Luo ~ <br />,,~~~ ~ ~ ~~~ <br />~ Z~uJ ~ <br />~~~iY/Qi ~~iw"I~ <br />Signature <br />If your address has changed in the last year please inform this office below: <br />n ~, <br />~;,~ a'~ <br />~~~~~ <br />~~ <br />