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~ ~ III IIIIIIIIIIIIIIII ~ la--~c-~ l~ g C~9 <br />C~.-~-Da ~5 ~S <br />ANNUAL REPORT aE~E1VE~ <br />PERMITTEE NAME: Centennial Materials, Inc. ~tAR ~ ~ 19gG o1ogY <br />PERMIT NO.: M-88-044 pivis\on°tMtnetals& <br />OPERATION NAME: Coal Creek Resources <br />ANNIVERSARY DATE: March 28, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Arapahoe <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 mau addresses all the <br />items listed in the attached instructions concerning minine disturbances 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: Donald L. Ooheim Company: Centennial Materials <br />Address::- 1101 Topeka Way Phone No.: (303 1 688-1183 <br />Castle Rock, CO 80104 Fax No.: (303 1 660-9146 <br />Comments:: Please see attached maps and report. <br />e~J <br />f <br />Signature of Corporate Officer, or Owner <br />~ ~~ <br />Date <br />M \DNRMI.\MASTI:RDIM-AF~01 <br />