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/tlY <br />~..- .u- rclz:rnd -,,cr()~l_ISdr(~I I,,1 RfCfl ~fD <br /> JUl <br /> 0 3 ~ <br /> ' <br />' U~ns~O" <br />I'I(It\111'11 I N,~\11. ~ummilllrirkK <br />ilc('n. <br />1 vlMine1Nsa <br /> a.Cepluar <br />I'F.RR111 NO.: fit-1')77-{2U <br />OPI•K~\'I'I(>N Nr\MI.', 8-~IileC'lay ~IDte <br />ANM\'I•.Itti:lltl' 1)r\ 11,: .huu• 29. 2011b <br />ANNI IAI PPI' UI'li ');(,88.01) (Uuc nn or before your unnicersarp Julel <br />t't )l'~'fti': F'renutm <br />:\rcording w ('.R.ti. ?-!-l?.5-I 16 or l'.It.S. 34-3'_-1 I6, each year, un thr anntvrrsary daft ul'thc ixmuL mt upcraUrr <br />shall submit the annual fcc, a report and map shnwmg the extent ul current disturbances to atlcrtcJ land. <br />reclam:uron accompitshed h, d:uc and during the preceding year. rm~a d,snnhanccs that arc anncgt:ucd io actor <br />during thr upcummg ccar, rccl:unauun that kill be pcrlixmcd durng the cunun~ year, the dates ti,r the heguuung <br />n(acti~r oprrauons, and the dale acnce upcrauuns ceased li,r the ycw~, rf any. <br />Plon.n num•6 vuur nwiual writlrn vnnunl Penurl and annual fL'nOfl Illffl) (n thk form_ f'rr'<fSr Bale I(lU! Wf <br />uJcyunle/t• Glhrlyd nl,lp !hill rlrurJt• deliru•au•a' urrrl inrlude~ du• ubuce elenn•nt.~ uum su/lire Jar a u•ri1le~n re/surf. <br />I)iviston record. uuhcate the fullu~cutg pcrmntce contact ml-urntation. Please venty tmd make any necesu+ry <br />changes: <br />Pernutlct: ('ontacr Joseph ('. Welte <br />I'rnniticc \amc: tiumnut Ilnck.C Tilc ('o. <br />\JJic~.v P.O. Hn~ Sil <br />I'nel~h,,l~l) ~11111?Il~tt <br />I'hunc Nunthcr 1? I')) i~1_'-~?78 <br />I•ax Number: (?I')) S~12.52•l3 - <br />II vuu hace addiUUn:d cununrnls and ur mli,rttt:tGun that should he pnrvided to the Il,ctsuxt, please pro~tde n <br />Ixluw ur attach it to thi. form aluttg ~~ uh your n nitro report and map. Annual Report utstnlcuonx arc enclosed. <br />Si ;Ilurd ctt'('urporute t)ftiecr. (h~~tcr, or I)csrgnec <br />(p~,L ~ GOU(o <br />Date <br />