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III IIIIIIIIIIIII III <br />999 <br />v <br />• <br />ANNUAL REPORT <br />PERMITTEE NAME: Richard D Mott <br />PERMIT NO.: M-SO-049 <br />OPERATION NAME: Mott Gravel Pit'k <br />ANNNERSARY DATE: February 18, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Montrose <br />R~~~~~ ~~ <br />EIVED <br />JAN 13 1999 O ~'~L <br />,~v,swn or;Nmerals & Gepb9Y ~/C(~`~ <br />Please attach to this annual-report your reviscd annual report-map and written report. Rote that a written <br />report is not necessary if the map addresses all the items listed in the attached instructions <br />concerning mining 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, [hen a revised map is not required. Please indicate the correct response below. <br />^ UPDATED MAP ATTACHED <br />CONDITIONS UNCHANGED, LAST SUBMITTED MAP REFLECTS CURRENT CONDITIONS <br />Please type or print [he current contact person's name, mailing address, and phone number in the space <br />provided: M ~-/- /~ <br />Contact Name: / / t ~ ` ` t Ie t C ~i R-r~ ~ Company: <br />Address:: _~SB~ (/~e~4r ho r1C 2~ Phone No.: (~P7 O) ~j a I 73 3 <br />l'Y)R-~ie~• r~o. Ss/Fl~l FaxNo.:( ) <br />N~ ~CL`Ul~~ I~qB -- --- - <br />Comments:: <br />Signature of Corporate Officer, or Owner <br />Date <br />M ~DNRMLNIASTERDV.I-AF-01. <br />