Laserfiche WebLink
J <br />'~ ~II ~I~II~~I~~~~~~I~ <br />999 <br />A.....~.-~L, i~L,ryt2T <br />PERMITTEE NAME: Park County <br />PERMIT NO.: NI-95-021 <br />OPERATION NAME: Chaparral Pit <br />ANNIVERSARY DATE: Apri124, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Park <br />u <br />~ECEIVCp <br />l' <br />Division of Minerals & Geology <br />9/ ~' <br />!~ <br />In order to ensure that our records are up to date, please attach your revised annual report map and written <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 concernine minine disturbance and reclamation uadate. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name:~.~ i/„~ <br />Company: ~a~k Co,. ~~, ~~/ >~ ~~~./~~ <br />Address:: <br />BOOI 147 <br />Fallplay, 80440 <br />Phone No.: (7 /4 ) g 3~ - ~/2 R 3 <br />Fax No.:_(7/9 ) 83v - s~.z'75 <br />~~~ <br />Signature of Corporate Officer, or Owner l Date <br />~~~~~ <br />~/n ~~ <br />A1:~DNRM LNIASTERDNI-AF-01. <br />.~/ ' e~t.~a! vn.~r1/...y..i,.,Gr/~1.~.~1'.cvktr/Ga,r~ri,Gt .e.!-G~`;~, ~r~.,f.,r.~.7',`' <br />