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= ~ IIIIIIIIIII II IIII IIII II <br />• ~ ~ '~'b7,~~~rr Enclosure <br />~~ ~~ ~~~~ <br />Permittee Name: ~ X986 <br />Permit No: Elam Construction Inc MAY 1 <br />Operation Name: M-79-075-HR <br />Anniversary Date: CHAMBERS PIT k}f1{s'~~~) ~~;~ ~£;l.~1P9A~jG~7 <br />05 / 29 / 86 Onlts. nea?. at tn!+.°r~? Resources <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 />Annual Report <br />Map <br />• <br />Remarks: <br />~~ 1Ae~ acf~. ~i `l-G.e_ C-C~IJ DYL~L<.G LO ~~ ft tr/S <br />- + <br />~tl'O~a_~c( ~vLa~1-~L("lG1 ~a-~ ~ie.cu~ tC'r(k-aJtcl ~'~ 5on-~. <br />-1r'L1ff ~ l ~ ~.0 aY2<c . <br />%GL <br />ure <br />~~ ~~ <br />