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~~ <br />I'hRM11'I IiG NA~1P.: OIdca~Uc 5\\ Group, Inc. d.b.a. K K 13 Ercuvutin{; ~EC~`\JED <br />I'fl3nnrNC).: \1-1986-lo.i <br />UI'I k:\I!ON N:\~I1,: ~lont);nntcry I'it JUN 122006 <br />r\NNIVI~I(S;\K\'I)Alh.. )lu}2d,:OQ6 UinsionulMrtmrolsandGnulopy <br />ANNI is\I I'I•I UI I $6RR.(Ill (Doc on nr before your anniversary date) <br />Aecordurg u, ( I(.~ 3•t•?Z.~- 116 ur (•.It,X. 3a. i?. I I b, each yc:u. un thr ;nnnver~ary date of the prnnu.:m operator <br />shall submit the annual tic, a report and mop showing ttte ectent of curnnl dtsturhanccs to al'fcctcd land. <br />rrcl:unauon auumpbshcii w dah• and durutg thr pnecdmg year, nc\\ duurth:utccs that ore anurilwled to occur <br />dunng the ulxanting year, nelanwnun that wdl he pcrlurmcd dunng thr coming your, the d:acs ti,r thr begmmng <br />u(aruvc uperauuns, and thr d:ur arrive uprr:nium erased tiH thr }car. t(any <br />1'irase attach }our rcticed writtrn annual n•pnrt •rncl •~nuu•rl yl,nrt nr p lu this loon 1'la'u.cr ruNC flirt! un <br />~n6 ymurh i.rhrird rn,rp 1/nrt r lrrrrh drliurulr~ umi imJud~ , rlrr •rhr+rr rirrrr,ort, rrrrrt' rrrJfirr %rn• a rrripc•n r,yrurl. <br />Ihvivon rrcunls utdirur the ti,llotsntg pcrmntcr contact rnlurntauun. I'Icase ccnfy and nwkc any neccssar}• <br />chances: <br />1'crnnttcc ('an[:tct: Jason Burkcv <br />I'ernuttcc Name: <)idcastic SW (;coup. Inc. d.h.a li & R Ifxrac:nmg <br /> <br />L•dscards, l'O 81632 <br />I'honc Number. (9%Q)')2G-3311 <br />I•ax Numbct° <br />If you hacc addtuunal atmmcnts and; or mtitrntatiun that should Ix: pr<n•xlcd h, Ihr Ihvrswn. please procWc u <br />brlm~ ur attach t[ to this lin~m along s nh your wnttcn report and mop. Annual I~elwn instrucuuns arc cnclusctii. <br />`~Y(C <br />tiignatttrl of(•utporatc Oliic~lkcaur, ur Ucsigncc <br />' '/ ~ ~ <br />uair <br />