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l ~ III IIIIIIIIIIIII III ~ <br />ANNUAL REPORT <br />PERMITTEE NAME: F and K Holsinger <br />PERMIT NO.: M-80-052 <br />OPERATION NAME: Holsinger Gravel Pit <br />ANNNERSARY DATE: April 23, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Jackson <br />~-~ ~~~ <br />s~ <br />RECEIVED <br />:~ i ~ C J 1,,;, [Ir <br />Division of P.binerals $ Geology <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. ;!'otc that a written report is not necxssacv_if the may addresses all the <br />items listed in the attached instructions concerning mining 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 />i /r ~( I _ <br />Contact Name: ~.° G ~ ttDL~S (vL g ~ r''~ <br />Company: <br />Address:(: P• D - ~6 X. 3 <br />(~CLLd ey(y ~ ~.D . ~ `{ ~D <br />Comments:: <br />PhoneNo.:(9 ~781 70.3' ~~cQ"/ <br />Fax No.: (~ ~O 1 ~~ -~ ~ 7l <br />Sib ature of Corporate Officer, or caner <br />~ ~~ 6~~ <br />Date <br />M.IDNRA7 LUTASTER DN7 ~AF~01. <br />