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M III IIIIIIIIIIIIIIII M <br />999 /~ CC C nn <br />R E C G' V~9~1fc1 osure <br />FEB 141 90 ~ ~5 <br />Permittee Name: Summit Brick & Tile <br />Permit No: MINED NO ~~ <br />Operation Name: ~,-„~,d~on Clay Mine RECLAMATION DIVISIQhJ ~y0 `~ <br />Anniversary Date: 05/09/90 <br />Please return this fors with your completed Annual Report and a ct <br />money order for annual fees due, payable to the Colorado Mined Lar <br />Division, 1313 Sherman Street, Room 215, Denver. Colorado 80203. <br />ANNUAL REPORT: <br />A.) No land was affected during the 4th year due to business <br />B.) It is anticipated that 1/8 to 1/4 acre will be disturbed <br />next year. <br />C.) No land csas reclaimed during the last year. <br />_ ~- / ,,~ / <br />Signature Joseph C. Welte <br />K or <br />Reclamation <br />the <br />