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<br />~ iii iiiiiiiiiiiiiiu <br />~ ~~~ z~ g ~ <br />ANNUAL REPORT <br />PERMITTEE NAME: Summit Brick & Tile * DECEIVED <br />PERMff NO.: M-77-322 <br />FEB 17 1999 <br />OPERATION NAME: Beaver Crk Clay Mine <br />ANNIVERSARY DATE: February 17, 1999 ~~ ~ ~~ ~~i~nerals d Geobgy <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Fremont <br />Please attach to this annual report your revised annual report map and written report. Note that a written <br />reuort is not necessary if the mao addresses all the items listed in the attached instructions <br />concernine mining disturbance and reclamation update. Also, if all of the reportable conditions listed <br />in the Annual Report instnictions 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 />^ CONDITIONS UNCHANGED, LAST SUBMITTED MAP REFLECTS CURRENT CONDTTIONS <br />Please type or print the current contact person's name, [nailing address, and phone number in the space <br />provided: <br />Contact Name: Jos~,~ft C WEc TE <br />Address:: p; (7i ~~J~ JC,3~ <br />~ilG /AGO CO ~/Oc~1-o533 <br />Company:,Sy/A/~~Tf~R/GK ~ r/L ~ Cv <br />Phone No.: (7~~/ ) sy~ ~~~ 7fi <br />Fax No.: ( ~ y ~7) .i y~ ~S~ ~3 <br />Comments:: /QLCL~//YIFiQ ~/~~~} .l5 `j(J ~/ZL~VLf{V//~iQ~-~f <br />Sign re o Corporate Officer, or Owner <br />oZ /l/o~yc, <br />Date <br />M ~DNRMLN7ASTERDUI-AF-01 <br />