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i III IIIIIIIIIIIIIIII --~ ~ .~ ~ ~ s~ <br />ANNUAL REPORT ~~~ """~ ~~~~G <br />~iL,c~,. <br />PERMITTEE NAME: Mathias Concrete Inc RECEIVED <br />PERMIT NO.: M-77-140 JAN 13 1999 <br />OPERATION NAME: N Farm Rd Pit No 1 ,;,~;,,~: at Minerals 8 Geolo9Y <br />ANNNERSARY DATE: January 15, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Rio Grande <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 />concernine minine disturbance arid reciamation 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 />^ UP ATED MAP ATTACHED <br />ONDITIONS UNCHANGED, LAST SUBMTI'TED MAP REFLECTS CURRENT CONDTI'IONS <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: ('~µt~'~/'~N!!~S <br />Address:: ~l( ~(~~f <br />Company:~~-r<li r6~s ,,,o•, Sync <br />Phone No.: (7~q) .Q5 ~ 3 r/3 z <br />Fax No.: (~7~ ~) ~~i .? - 37 <br />~,~.~~~A <br />Signature of Corporate Officer, or Owner <br />/~- ~- 99 <br />Date <br />M'~DNRM LV.IASTER DV.1-AF-01. <br />