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iii ii~iiii~iii» iii +i <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: James H & Kathleen H Ross <br />PERMIT NO.: M-90-134 <br />OPERATION NAME: Ross Pit* <br />ANNIVERSARY DATE: April 10, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Moffat <br />~~ ~ ~#-~7bZ 3 <br />Gc ~ g(c/3 <br />~p 1~ &~~°~ <br />W'~o,~~clata~' <br />~o~ <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 concernins mining disturbance and reclamation update. <br />Please type or print the current contact person's name, mailing address, and phone nwnber in the space <br />provided: <br />Contact Name: ~`~ ~ Company: {~ ~ 1J'sG S <br />Address:: ~~ ~ TA Y'O ~ ~ Phone No.: ( I /~ ) ~a~ c~G7 <br />~~'G ~ ~/ ['O JO • Fax No.: ( ~~ 1 ~a~ 14 ~~ <br /> <br />Signature of Corporate Officer, or Owner <br />3~~9~' <br />Date <br />M ~1DNR MLU1ASTER DNt ~ A F-01 <br />