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REP17511
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REP17511
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Entry Properties
Last modified
8/24/2016 11:46:34 PM
Creation date
11/27/2007 2:09:38 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1994092
IBM Index Class Name
Report
Doc Date
11/22/1999
Doc Name
FREMONT CNTY CONTACT PERSON
From
FREMONT CNTY DEPT OF PLANNING & ZONING
To
DMG
Permit Index Doc Type
ANNUAL FEE / REPORT
Media Type
D
Archive
No
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~~~ <br />ANNUAL REPORT <br />PERMITTEE NAME: Fremont County <br />PERMIT NO.: M-94-092 <br />OPERATION NAME: Iron Mountain Road Gravel Pit <br />ANNNERSARY DATE: January 23;1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Fremont <br /> <br />RF_CEIVED <br />APR ~ 8 1999 <br />division of Minerals 8 Geology <br />Please attach to this annual report your revised annual report map and written report. Note 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, then a revised map is not required. Please indicate the correct response below. <br />^ UPDATED MAP ATTACHED <br />® CONDITIONS UNCHANGED, LAST SUBMTTTED 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: /UIilPSlfA/1~A~lZ~ <br />Address::~~cOA.ETiyt~ ®~'~~nv/N6~a/~wl6 <br />~~~f ~~~ fiaiz <br />Company: /"i(~C/YIO•f/l ~/riN~TLI <br />Phone No.: (7/g) 27~' 700 <br />Fax N o.: ( 9/y ) 2 75- '16ZG <br />Comments:: 7, ~~9 % .dS H1~2'~iLl/.t/6D /N /99~ / kBN~iDtl ~6Ylo~',GS~~~~/,P9~ <br />. ~cl <br />Signat a of Corporate Officer, or Owner <br />Ci/.onemn~v er?a'e ~iCwRO <br />~.?C.N/~r/fL6~W1-J~D.aPOJiQ~n.Ylr1 ~i~tf.NisS/aM~,fS <br />~i~-~ -9~ <br />Date <br />h7.~DNRM LU1 FSTERDV.1 ~AF~6l. <br />
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