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~;, ` • II I I II I II I II IIII III • ~5 ~`~ <br />~.,~ <br />ANNUAL REPORT ~ \ ~~ _ f <br />~~,~ <br />PERMITTEE NAME: Raymond C. Petersen R~C~/~~D <br />PERMIT NO.: M-S1-236 ~/vi~.o o~ n~5 1~~r, <br />OPERATION NAME: Colorado River Ranch Gravel Pit Sa ~eo~ <br />~9Y <br />ANNNERSARY DATE: March 29, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Grand <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 concerning mining disturbance and reclamation uudate. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: ~~ //~~ /~ n /' /~ <br />Contact Name: ~RU/110/lOS G /-'e ffo''rP/U Company:(~D~oRoL~o K~rrr /Yawl, l~/G!X / ~'/ f <br />Address:: ~0 ,801' ~3~ Phone No.: (970 ) 7~ ~- ~3~ 7 <br />-l~('~Pmin ~ii~; ~o~D ~ac00 ~drfs~ Fax No.: (9'70 ~ ~a~!- °~a7 <br />Comments:: <br />gnature of Corporate Officer, or Owner <br />~~y ~99 <br />Date <br />M ~DNRMLNIASTERDV.7-AF-01. <br />