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~ III IIIIIIIIIIIIIIII ~ ~r~.t,~ ~~ ag 3 <br />au <br />ANNUAL REPORT <br />PERMITTEE NAME: Moffat County <br />PERMIT NO.: M-92-007 <br />OPERATION NAME: Tuttle Pit No 1 <br />ANNNERSARY DATE: March O5, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Moffat <br />~\J~0 <br />y <br />^c~, .1 L . G~wa <br />~~ `~a~~a~el' <br />`,, <br />,~~,p°~ <br />In order to ensure that our records aze up to date, please attach dour revised annual report m~ 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 concerning mininE disturbance and reclamation update. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name:~~N,J~S 2. '=To,~~~ <br />Address:: ~. D i3d x CoL _7 <br />~.2A t Ce ~ ~ 1-0 ~ l /y ~Co <br />Company: Mof~w,~ ~v~~~f ~Ap 17~~t <br />Phone No.: (%~ C~) r3 Z '~ - 3 Z l ~ <br />Fax No.: (q7o ) ~3z~ - 0 3S'(o <br />Comments:: IJo M/~~ f~~'L~S5~f2.~1 ~r~C~C~i L_~ ~>ZD~CTiOrJ <br />~ ~.J L <br />Signature of <br />or Owner <br />~~~~1 f ~~ <br />Date <br />A1'~DNRM LNIASTERDUI-AF-6J. <br />