Laserfiche WebLink
~~.~q~ z • <br />r~~°~~~ <br />~II ~~~~I~~I~~~~~ ~~~ <br />ANNUAL x~rvni <br />PERMITTEE NAME: Fremont County <br />PERMIT NO.: M-86-010 <br />OPERATION NAME: Cottonwood Pit* <br />ANNNERSARY DATE: January 20,1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Fremont <br />• ~ECEIVEC <br />APR ~ 8 1999 <br />Oivlslon of Minerals & Geolo9Y <br />Please attach to this annual report your revised annual report map and written report. Note that a written <br />report is not necessary if the map addresses all the items listed in the attached instructions <br />concernine minin8 disturbance and reclamation update. Also, if all of the reportable conditions listed <br />in the Annual Report instructions have not changed since the last Annual Report map and report were <br />submitted, then a revised map is not required. Please indicate the correct response below. <br />^ UPDATED MAP ATTACHED <br />1Rl CONDITIONS UNCHANGED, LAST SUBMITTED MAP REFLECTS CURRENT CONDTTIONS <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: /~/IA,PSl1~G ~i/7LS.C <br />Address::~~ ~i~.4N/N/~~ZA~V/,r/G <br />--11S.~I,a~ayllu~xa~-,~~wc SS <br />G~QVdt/ ~;yry, ladlDrZGGI~ 8!Z/Z <br />Company: /',~E.sro'yT~d'{/~'y <br />Phone No.: ( ~/9) Z~/G'7~ <br />Fax No.: (`J/ % ) 27S''I6Zli <br />Comments:: rP~ (0 rP ~ ~0.~lS ~/NCO !.l/ ~8 ~ ~,(~EA~ ~~l.N A,PIC~GS ~.P6E~/efii(1f <br />7JiS~fU,eq~,D <br />., <br />Signature of Corporate Officer, or Owner <br />F~t~iKONrC~vany ~iRV mFC~Ldv>'1 ~a,KU/tf~on.~es <br />~-6-99 <br />Date <br />M:VJN R M1i LNI ASf ER DNI-A F-07. <br />