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ANNUAL REPORT <br />PERNi1TTEE NAME: Washington County <br />PERt~fIT NO.: NI-88-032 <br />(~ILt~ ?1~~~~0 <br />RECEIVED <br />OPERATION NAME: Fassler Gravel Pit* ~AY Q 3 ~ggg <br />ANNIVERSARY DATE: May 18, 1999 <br />D~v~s:on of Minerals 8 Geology <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Washington <br />[n order to ensure that our records are up to date, piease 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 concerning miningdisturbance 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: w' ~~~~ s~ ~tdE'F` <br />~ Company: Was ~~ n A a n 8 f <br />Address::_y'-~ ( ti/ ~n ~~ Phone No.: (97P) 3~f~ - ~~I) ~ <br />~ki'DWr~~ ~''07a~ FatNo.:(~7c )345-~7~'.~ <br />Comments:: <br />Signature of Corporate Officer, or Owner Dale <br />1NSTRGCTlONS ON BACK <br />\1'~DUR,~1L MASTERDOM-AF-OA. <br />