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iii iiiiiiiiniu m <br />~ ANNUAL REPORT <br />,~( <br />PERMITTEE NAME: Phillips County <br />PERMIT NO.: M-89-095 <br />OPERATION NAME: Schneller Clay Pit <br />ANNNERSARY DATE: November 27, 1998 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $225.00 <br />COUNTY: Phillips <br />RECEIVED <br />JAN 2 9 1999 <br />Diwswn of Minerals & Geology <br />RECEIVED <br />JAN 2 9 1999 <br />L w,:cn of Minerals 6 Geology <br />v: Order IO errSUre iha: JU: ree01'do :lie iip :v daie, pleas:; altacli yOUi reViScd anr~iiai ieport map and Wiitteri - - <br />report to this annual report. Note that a written report is not necessary if the map addresses all the <br />items listed in the attached instructions concerning minin¢ disturbance and reclamation update. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: ~/ie,,,oGw ~/!~iftfp~ <br />Address: Phe/~ ~~,~ <br />22 / ,~ ~U~LC~`cea~,-, <br />w , L'/J ~°O ~3 5~ <br />Company: P/u.~~ ~m~~ <br />Phone No.: (~?O) b'>`5~ - ~ 7? S <br />Fax No.: ( 970 ) ~$~'S~ - .3 8/~ <br />Comments: Sp,° ~ ~~,,~.~ ~ r,/n-~ <br />Signature Corpor e Officer, or Owner Date <br />