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~ iii iiiiiiiiiiiu iii <br />ANNUAL REPORT <br />PERMITTEE NAME: C & J Gravel Products Inc. <br />PERMIT NO.: M-80-146 <br />OPERATION NAME: Montoya Pit <br />ANNIVERSARY DATE: May O1, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: La Plata <br />~~ <br />~~ ~ <br />~G ~ ~i <br />DECEIVED V" <br />APR 19 1999 <br />soon of fNir~ty~ g GeolpDy <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 map addresses all the <br />items listed in the attached instructions concernut~miring 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: lJr^ /1 ~i ~ ~ ~ ~F ~n ~~ e~ Company: C ~ ~ C t°a ~'c ~ ~ro ~ cep ~s, Tic . <br />Address-::~~ 7~ 4/ l •~ S ~id v l 4 0 E Phone No.: (/ 7 1 3 PS - cl 1 1 2_ <br />,llltl'~f:~ne ~L> ~l_30 / FaxNo.:(c/70 1 3PS -.S 0 I <br />~_ <br />Comments:: <br />\ ~ <br />Signature of Corporate Officer, or Owner <br />9 <br />Date <br />INSTRUCTIONS ON BACX <br />M'~DN Rh1LU1ASTE RDU1-AF~01. <br />