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~' • ~ • IIIIIIIIIIII <br />~. ANNUAi. REPORT ®~ 1 ~' . <br />r~ <br />PERMITTEE NAME: Montezuma County +~ <br />~i; . <br />:; .. <br />PERMIT NO.: M-85-031 ~ 3~~~F~4i~~ <br />OPERATION NAME: Mancos Gravel Pit ~ -' ~, . <br />A~ ~ 2 3 2000 '~-: . <br />ANNIVERSARY DATE: May g 1 2dori uivision~~tMirerals%~GenMyl r~,t: <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: S550,00 ; <br />COUNTY: Montezumra <br />In order to ensure that out records ere up to date, please attach your revised annual report map and written <br />sport to this annual report. ore that a written resort is not necessary if the map addresses nil 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, end phone number in the space <br />provided: <br />Contact Name: LI~II''~ ~v<..~~ Company: Alta,aez.i~~~nn Crt~.-.~7L1 <br />Address:: ~ ~c' ~'~:.' N«Ja 1~1 7 Phone No.: ~Q ' ]o) 5 ; • y L• (~ ~- <br />rt c ~•y ~ il~ +' p . ~~{ ~ .~ a r Fax No.: L~ 7c~ ) ~&~5 ~'•~ S•'z.-. <br />n. , ~ <br />Comments:: Lt!.PC,ey <br /> <br />of Corporate Officer, or Owner <br />Date <br />~~~ <br />INSTRUCTIONS ON BACK <br />M:~oaaMw.usrEarnM-~r-o~. <br />f <br />. I <br />~ + t ; <br />~ t I E'L <br />~ ~ l : `. <br /> <br />I <br />~ j ~~ <br />1 I~.1 <br />J <br />- N <br />j .. <br />i <br />,.: <br />~;,~ <br />~!'' <br />~~ ~;. <br />~ .... <br />