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~- <br />• III IIIIIIIIIIIII III <br />ANNUAL REPORT <br />PERMITTEE NAME: V1'ashington Count} r <br />• ~~~ <br />~~ ~ <br />PERMIT NO.: M-86-048 ~FCE~VED <br />OPERATION NAME: Nicholson Gravel Pit MAY 03 1999 <br />.ANNIVERSARY DATE: Ma} 22, 1999 =~~''~~cl:an::ineral~gGeolpgy <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: 522.00 <br />COUNTY': Morgan <br />~Q s~ <br />S, <br />In order to ensure that our records are up to date, please attach your revised atmual report map and written <br />report to this annual report. Note that a written report is not necessary if the map addresses all the <br />items listed in the attached instructions concernint mining disturbance and reclamation update. <br />Please type or print [he current contact person's name, mailing address, and phone number in the space <br />provided: <br />Cilntact Name: ~~r ~~tl °L Sn ~ i A Ef~t^S <br />.lddress:: '7 S/ Lti~ ,~ t7 C7~ <br />Comments:: <br />Company: LfJa,g ~ ~ !/~' ~~ n l-y ~. <br />Phone No.: (~7l' ) ~J ~~5~~y/ ~ <br />Fax No.:~ 1 7~ ) 3~f~" ~ / n <br />Signature of Corporate Officer, or Ovmer Date <br />INSTRUCTIONS OA' BACK <br />N DN RAIL A19STERDJ.1-AF-01. <br />