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<br />~ III IIIIIIIIIIIII III • <br />• <br />ANNUAL REPORT <br />PERMITTEE NAME: Colorado Division of Highways <br />PERMIT NO.: M-84-103 <br />OPERATION NAME: Independence Pass <br />ANNIVERSARY DATE: February Ol, 1999 <br />ANNUAL FEE DL1E ON ANNIVERSARX DATE: $225.00 <br />COUNTY: Pitkin <br />~~CE/V~L, <br />JAN 19 1999 <br />Uivisron o! Minerals 8 Geology <br />Please attach to this annual report your revised annual report map and written report. Note that a written <br />report is not necessary if the map addresses all the items listed in the attached instructions <br />concerning mining disturbance and reclamation update. Also, if all of the reportable conditions listed <br />in the Annual Report instructions have not changed since the last Annual Report map and report were <br />submitted, then a revised map is not required. Please indicate the correct response below. <br />^ UPDATED MAP ATTACHED <br />~'C~ONDITIONS UNCHANGED, LAST SUBMITTED MAP REFLECTS CURRENT CONDITIONS <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: (,J,, /gym .~, ~/~~r w> <br />Address:: (~(L/,, f 4 ~ <br />GQo_ ~ ~-~! « Q/ poi <br />Comments:: <br />Company: - [. />o /` <br />Phone No.: ( 9~b) ~r~ fS- 7~ G>r <br />Fax No.: ( 9?a) a5/i - 3 5 3 s <br />~~~ <br />Signature of Corporate Officer, or Owner <br />Jam/ ~1 <br />Date <br />M ~DNRh1LU1A5TERDNI-AF-Pt <br />