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<br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />• <br /> <br />Notice of Intent to Continue Mining Operations <br />110(2) Annual Report <br />Denver Brick Company <br />M-76-007UG <br />Goiden Mine* <br />10/04/93 <br />$225.00 (Due on your Anniversary Date) <br />1. Has this mine been granted TEMPORARY CESSATION STATUS? <br />Does this mine operate MORE or LESS than 180 days per year? <br />2a. Financial Warranty: $ 02 D DO,O U 2b. Permitted acreage <br />3. Does this mine have a phased reclamation plan? <br />4. Total acres affected during the report year:* <br />5. Total acres reclaimed for the report year:* <br />iii iiiiiiiiiiiu iii <br />999 <br />;,, ' <br />_ 'S ,U 5, <br />YES NO <br />MORE LESS <br />_ 9. 9 <br />YES NO <br />O <br /> <br />6. Total acres in various stages of reclamation:* <br />a. Backfilled: d. Topsoil replaced: <br />b. Graded: Average topsoil th ckness <br />c. Seeded: replaced: <br />List species seeded & seeding <br />rate for report year on back <br />7. The type and approximate quantity of fertilizers, organic mater al or soil <br />conditioners used for the report year:* <br />8. Estimated tot,~a/l acres to be affected in the next1repo~rt year:* _ ~ <br />9. COMMENTS(/: N~ ne /w1~ tGCrcnu~ Q,T~~/P/~,1, Im •r~1~1~1_ <br />CP7 /l /I n.uiG 1/P~-T//i ~~~. •i, /I .r.O ~/, n.,/• r~i~T.. _6GN / <br />* Please show the location of the acreage for items 4 - 6 on your map**. <br />Indicate the phases of the reclamation which have been completed, co•~related with <br />your timetable. <br />n <br />** IU If there have not been any changes since the last annual report and you <br />previously submitted a map which correctly depicts the current acrea~3e in items 2 <br />through 6, then a new map is unnecessary. However, this must be stated above. <br />Signature: v!i Date: ~~ 793 <br />Please type or print current contact name, mailing address, and phone number below:/ <br />Contact Name: W4 G end <br />Company: (/G.a !~" ~r, /C-_CO M,Q~/Ay <br />Address: ~ox /640 _ _ (/__ <br />,nom-~, l'o, Po1o~ <br />Phone: (~1~3 > E ~d' 6 jSL <br />~eae~ul Tax ID No. or Sec~a1 Secirity Nc ~ 5` ~' ~ ~~ ~ 9 ~~ <br />~~~ <br />