REP01473

• Permit No: M1981058
• IBM Index Class Name: Report
• Doc Date: 6/30/1992
• Doc Name: 112 ANNUAL FEE INVOICE & REPORT REQUEST
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

-~ /,;~,,,,,o.(i~iQo'~'icer,o' f Intent to Continue Mining Operations
/`"" 112 Annual Repo}t
Permittee Name: Thomas F & Ginger L Latham R Cn

Permit No
:
M-81-058 ~'
Ll„~ ~

Operation
Name:
DeBeque G
ravel Pit ~
Anniversa

Total: r Date:
Y 09/07/92

$490.00

(Due on your Anniversary Dat

e) P 0 4 1992

1. Has
Does
your mine
your mine
been granted
operate MORE
TEMPORARY CESSATION STATUS?
or LESS than 180 days per year? Ul~iaiUiv OF
MINEf~,~~ g GEOL~(~~•v
MORE LESS
2a. Financial Warranty: $ 2b. Permitted acreage:
3. Do you have a phased reclamation plan?
4. Total acres affected during the report year:*
5. Total acres reclaimed for the report year:'
YES NO
6. Total acres in varicus stages of reclamation:*
a. Backfilled: _ d. Topsoil replaced:
b. Graded: _ Average topsoil thickness
c. Seeded: replaced:
List species seeded & seeding
rate for report year on back
7. The type and approximate quantity of fertilizers, organic material or soil
conditioners used for the report year:*
8. Estimated total acres to be affected in the next report year:*
9. COMMENTS:
* Please show the location of the acreage for items 4 - 6 on your map*`.
Indicate the phases of the reclamation which have been completed, correlated with
your timetable.
** NOIE: If there have not been any changes since the last annual report and you
previously submitted a map which correctly depicts the current acreage in items 2
through 6, then a new map is unnecessary. However, you must state this fact above.
Signature: ~Se~C~cr-,.-- Date: 9f/~9z~
Please type or print current con/tact name, mailing address, and phone number below:/
Contact Name: orn ~4-~h4~n one: (3a3 ~-~3" 563
Company:
Address: P~. ~01~ 6C
,r~~
Federal Tax ID No. or Social Security No.: 5.1`/' G - S /6 7
/ I
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