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,_ • iiiiiiiiiiiiiiiiiii ~.~~ ~~z ~ <br />999 ~~ 30(0 2 ~ ZAP <br />ANNUAL REPORT <br />a~~E1vEo <br />PERMITTEE NAME: Weld County 6 1~ 1999 <br />PERMIT NO.: M-81-286 FE &~epypgY <br />OPERATION NAME: Thomas Gravel Pit 4* ~t~yonotMt~~s <br />ANNNERSARY DATE: March Ol, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Weld <br />Tn order to ensure that nur records are up~to daterplease 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 update. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />. ContactName:~~eT~-fs~,,, Company: ~~~ ~,,,,,,~~~,~,~_ In~,rks <br />Address:: PD ~0~7~ ~ Phone No.: ( 97D) 35~-~/GYY) Y 3750 <br />GYr e%~ ~'n AOlz3,7 Fax No.: (97U) 35~ -~. F~vB <br />Comments:: ~J^d rx~t~..-~a~ -Fr.,..n eX,s-t,~~n~n~kn:~es <br />Signature of Corporate Officer, or Owner <br />~/~i/9y <br />Date <br />A1'~DN RM LN1 ASTERDN1-AF-0.t. <br />