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• ~~II~~I~~II~II~~I~~ <br />AN1vuAl, REPORT <br />PERMITTEE NAME: Phillips County <br />PERMIT NO.: M-94-007 <br />OPERATION NAME: Johnson Pit* <br />ANNIVERSARY DATE: May 23, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $~~0.00 <br />COUNTY: Phillips <br /> <br />RECEIVED <br />MAY 2 ~ 1999 <br />pivis.cn of M~nerafs b Geo104Y <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 annual7eport: Note that a writtcr. rep~r: s not-ne~essary ii the -map addressesall 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: Randy Schafer <br />Address:: 221 S. Interocean <br />Holyoke, CO 80734 <br />Company: Phillips County <br />Phone No.: ( 970 ~ 854-3778 <br />Fax No.: ( 970 ~ 854-3811 <br />Comments:: Phase 1 mining is still in process. Reclamation near the creek in the <br />area labeled "Mining to Date" has been done. <br />~~ <br />Signature o orporate Officer, or Owner <br />4-6-99 <br />Date <br />INSTRUCTIONS ON BACK <br />M.~DN RMLV.1ASTERD~M-AF-O~. <br />