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. - FEB. 18. 1999 4~12PM• DIViMINERRLS&GEOLOGY • NO.l~~llI IIIIIIIII IIII III <br />999 <br />c~ b~~3~z <br />ANNUAL REPORT G"~IJEI~ <br />att M10etals & Geow9Y <br />PERMITTEE NAME: Baca County tt U ], 999 <br />PERMIT NO.: M-77.485 Division of Minerdls 8 Geob9Y <br />OPERATION NAME: Gravel Pit No. S <br />ANNIVERSARY DATE; September 11,1998 <br />AATNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Baca <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 concernin¢ 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 Nam~je; L- ,~~fl',~/YCr~ _) /~'l~~~l~-5 ~~ Computy: ~y ~r ` - n /k' <br />Addraess: /J ~ z ~i Phoae No.: ~ /y~ ~q) ~ J ~ , 3 ' 7" ~~ /(' <br />~~~~ <br />--~ <br />-E'lliiu~t~i ~. .P_L~PiJva-~7V ~ ~l <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />M:MSeSmmn4~H~co Caunry.dx <br />