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~ III IIIIIIIIIIIII III <br />ANNUAL REPORT <br />PERMITTEE NAME: Lake County <br />PERMIT NO.: M-77-071 <br />OPERATION NAME: Half Moon Pit <br />ANNIVERSARY DATE: Maq 25, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Lake <br />~~~~~~3~ <br />~~ ~~~ <br />~ECEIVEd <br />BAR 18 `-g99 <br />~,v~s+on oiyline~ats & Geolo9Y <br />In order.to e~tisure.that our records are un to date, please attach your revised ar .ual rcpt : m::p and v~~: itteu <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 concerning mining disturbance and reclamation update <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: '~ // / / /' <br />Contact Name: ee.-al ,~/a yP~ Company: ~t li/~e Lec~u-~y <br />Address:: /~O ~3 ~~~ Phone No.: (7C5 1 ~~6- ~3.~.~~' <br />~Pca ~., llP ~ Fax No.: (7/~i ) ~/~l - 'S~~/7 <br />Officer, or Owner <br />Date <br />/NSTRUCT/ONS ON BACK <br />m ~otmtnaurous~an~n~.a.F-oa <br />