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J~ ~ <br />ANNUAL REPORT <br />PERMITTEE NAME: Weld County <br />PERMIT NO.: M-78-210 <br />OPERATION NAME: Geisert Pit <br />ANNIVERSARY DATE: March Ol, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Weld <br />~ ;~ III Illllllllrrllrii ~ <br />~,c,~ ~~ 2~ 2.~ <br />RECEIVED <br />FEB 171999 <br />Division of Minerals & Geology <br />In order to ensure that our records are uo [o 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 listetl 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 />Contact Name: ~jre~_~,,~~ r. Company: 1n/a.~~ 0~,,,.-~., p~d~,~_ bJa.-ks <br />Atidress::_ J,~3n~7S ~' Phone No.: (9 7C~) ? SG, -~IDOO x ~ 75Cr <br />~,~ ~ /.., t~~~ 3~ Fax No.: ( 4 7()) 35,E - ~ k/ A <br />,~'-~ ~ /~~ l 9 y <br />Signature of Corporate Officer, or Owner Date ~~~~ <br />M'~DNRMLUfASTERDVr1~AF-Pi / / ~ / ~ J ~ ~ /4~ 1 <br />//1~1~1~ <br />