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~ • IIIIIIIIIIIIIIIIIII ~-~~~~5~~ <br />999 ~~ ~,sg a <br />ANNUAL REPORT <br />PERMITTEE NAME: Wayne A & Jerry A Mitchell <br />PERMIT NO.: M-90-131 <br />OPERATION NAME: Mitchell Pit No 2 <br />ANNNERSARY DATE: February 14, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Adams <br />RECEIVED <br />FEB 12 1999 <br />Division of Minerals & GeobgY <br />Please attach to this. annual renoct_your-re-wised arm.:al repot .«<p and'wrC~ieTii'epoi'[. Note IFtaf a written <br />report is not necessary if the map addresses all the items listed in the attached instructions <br />concerning mining disturbance and reclamation update. Also, if all of the reportable conditions listed <br />in the Annual Report instructions have not changed since the last Annual Report map and report were <br />submitted, then a revised map is not required. Please indicate the correct response below. <br />^ UPDATED MAP ATTACHED <br />~4 CONDITIONS UNCHANGED, LAST SUBMITTED MAP REFLECTS CURRENT CONDITIONS <br />Please type of print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: I,~lAyn~6_ ~ /'~/i1~t-r~~~ <br />Address:: FGA (fox ~~~ <br />~~~,var,-- C~~~ t~~to2 <br />Comments:: <br />Signature o orporate Officer, or Owner <br />Company: <br />PhoneNo.:(.3a3 ) /~yN- 3rw2t? <br />Fax No.: (~/q ) <br />~- ~ 2 g <br />Dale <br />M ~DNRMLNIASTERDV.LAF-01 <br />