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<br />ANNUAL REPORT <br />~~~ <br />~~ ~~ <br />:~ ~EIVED ~/ <br />MA,Z ;? ~ 1S99 <br />PERMITTEE NAME: Park County ,, ,,,,,;, or Minerals 6 Geology <br />PERMIT NO.: M-80-014 <br />OPERATION NAME: Eleven Mile Pit* <br />ANNNERSARY DATE: April Ol, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $550.00 <br />COUNTY: Park <br />CPQ~ ~ <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 roan addresses all the <br />items listed in the attached instructions concernine ufinine 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 />ContactName:~pQERT ;I~A/VGE <br />Company:,~~R~~mkMry Roao * QRJpsE <br />Address:: ~~. !'y7 <br />Fa/Ri°~AY Coto goyyd <br />Phone No.: ( 7! 9) 83 6 - ~/.2 83 <br />FaxNo.:( 7/9) 836-H29s <br />~,1 ~^ J <br />/-, c./r.I U~~^i:'~•or~C SU ?C~~/i3Ol' ~Of' ~AT {~ ~'j K'y <br />Signature of Corporate Officer, or Owner / Date <br />M:~DNRMLV.fASTERDNI ~AF0.l <br />