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~ III IIIIIlIIIIIIIIII ~ ~~~~~z~ <br />c~.-~ ~o~z~2u <br />ANNUAL REPORT <br />PERMITTEE NAME: Weld County <br />PERMIT NO.: M-80-120 a~CE~~JED <br />OPERATION NAME: Koenig Pit* FEg 1'7 1999 <br />ANNNERSARY DATE: March Ol, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 t)i~s10o°tM~~t~s&Geoto9Y <br />COUNTY: Weld <br />Ir: order to e...,,:re that our records are up to date, ple::se 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 />Contact Name: .,rp ~ ~L~ta" Company:~~~p~~~~ I~orKs <br />Address:: PD ~x ]_SQ Phone No.: (97U ) .~5b -ysa-~n Y 3750 <br /> <br />(7 r P P_~ <br />~n ~U ro 3 J Fax No.: ( 970 ) _~5,~ - ~ P~ P <br />T <br />Comments:: /'~'~~l~ /'Y1G~'Pyi o_/ '~fb P~ lSfinc $~OC1 vf: /P <br />Signature of Corporate Officer, or Owner <br />.~ /» /9 9 <br />Date <br />h1:~DNR A7 LV.7 ASTER DV.1-AF0.i <br />