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• III II~II~IIIIII~ III <br />f <br />ANNUAL REPORT <br />PERMITTEE NAME: Monarch Stone Company <br />PERMIT NO.: M-91-037 <br />OPERATION NAME: Katuska Pit* <br />ANNIVERSARY DATE: May 03, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Park <br />ASS <br />RF _IVED <br />MAY ,~ 3 1999 <br />)ivi5ia tent, & Geob9Y <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 update. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: rn <br />Contact NJam~ 1 m ~ C. Company: 1 ' ' 0 n (~{'C ~ S ~ ~, <br />Address:: b a 6 ~ 5- Ut v t 4 n ~ Phone No.: (~~ l g 3 3•~~ s <br />-~ 1-~ c ~o ..~ C~ 8'~0 ~a~ Fax No.:~~ 0 ~l 9 3 3 - a 3'~ o <br />Signa of Corporate Officer, or Owner <br />~-2~-5~ <br />Date <br />INSTRUCT/ONS ON BACK <br />nc~nNruu.v.~a srearnm+-at'-o i. <br />Comments:: U ~ I C~-~- -~~ l...Jrk "rj->-~ ,~, P~.r~o ~.,~.d 13 <br />