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/, r • III IIIIIIIII • ~~ ~~~"~ <br />1111111 <br />ANNUAL REPORT ~,~ ~~~~ <br />PERMITTEE NAME: Grand County <br />PERMIT NO.: M-95-004 RECEIVED <br />OPERATION NAME: Inspiration Point* MAY ~ 3 1999 <br />ANNIVERSARY DATE: May O5, 1999 ,~;,•.;:~n of Minerals & Geolo9Y <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Grand <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 amTUal 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 />CoutactName: M. C. Branstetter Company: Grand County Road & Bridge Dept. <br />Address:: 467 E. Topaz Ave. - P.O. Box 9 phone <br />Granby, .CO 80446 Fax No. <br />970 ~ 887-2123 <br />970 ~ 887-3168 <br />Comments:: Map reflects new (possible) and old. Nothing else has changed in mine <br />status. <br />~,~,~ April 30, 1999 <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />At:~DN Rh1 LU7AST ERDN7-A F~OJ. <br />