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_,. • iii iiiiiiiiiiiuiii ~,--~ 5~~~ <br />_, ANNUAL REPORT ~~~ 1~~~~ <br />PERMITTEE NAME: Montezuma County RECEIVED <br />PERMIT NO.: M-85-031 MAY 1 7 X999 <br />OPERATION NAME: Mancos Gravel Pit '~visionofMineraf,&Geobgy <br />ANNIVERSARY DATE: May 31, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Montezuma <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. Mote-that a n~ritten report-is not necessar;~if the maP addresses all the <br />items listed in the attached instructions concerni~ 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: LI °4 ~ r~~r<~-~~ Company: ~ N.-1 e ' ~ n1 ~ - <br />Address:: ~(n $U ty,.,!U Id _S Phone No.: (~')0 1 5 (~S ~ G, (n <br />(t rye ~.~~ . L' G • ~I 3 .~ / Fax No.: (~ 7r~ 1 Sir: S- ~~SZ <br />~'_ . ~~ 1, 3 ~ 99 <br />' ignature of Corporate Officer, or Owner Date <br />/NSTRUCTIONS ON BACK <br />M:~D N RMI.UTA STERDVv1-AF~04. <br />