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<br />~ III IIIIIIIIIIIII III ~ <br />~~ <br />ANNUAL REPORT ~> <br />PERMITTEE NAME: Western Mobile Northern Inc ~ ~ /r <br />PERMIT NO.: M-80-136 RECr=1t~ED ~ (J, ~`~ <br />OPERATION NAME: Chambers Pit ~ `J <br />MAY 0 4 1999 // <br />ANNIVERSARY DATE: February 25, 1999 <br />naision of Minerah a geology <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Eagle <br />Please attach to this annual report your revised anm:al retort map and wriiien report. Note that a written <br />report is not necessary if the mao 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, then a revised map is not required. Please indicate the cotTec[ response below. <br />~. UPDATED MAP ATTACHED <br />^ CONDITIONS UNCHANGED, LAST SUBMITTED MAP REFLECTS CURRENT CONDITIONS <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: 6.r; o $~kentine <br />Address:: _ 15.90 W. 12th Ave. <br />Denver,_ CO 80_?04 3410_ <br />Company:~~m ~I I~ NoN~~'?2.1'h.'i'r,rr . <br />Phone No.: (' 303 ) 6~7-4330 <br />Fax No.: ( 303 ) 655-4339 <br />Comments:: ~t~~e ~.e H~UQ~ ~~vt'~ <br />Signature of Corporate Officer, or Owner <br />Date <br />M'.~DNRM LV.1 ASTER LNM-AF~01 <br />