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<br />~, iii iiiiiiiiiiiiiiii ~ <br /> Notice of Intent to Continue Mining Operations JAN L 3 1996 <br /> 110c Construction Materials Annual Report <br />Permit tee Name: Forest Lakes Metro District <br />Permit No. M-81-158 ~ '° ~ '" ' "''~"'~~ <br />Operat ion Name: Forest Lakes Pit #1* <br />Annive rsary Date: January 26, 1997 <br />Total: $225.00 (Due on your Anniversary Date) <br /> <br />1. J) <br />a. Permitted acreage:: -~~~ b. County where mine is located: `A //~~ <br />/"~ATID~ <br />2. Has this mine been gz-anted TEMPORARY CESSATION STATUS? YES NO <br /> Does this mine operate MORE or LESS than 180 days per year? MORE ESS <br />3. Does this mine have t+ phased reclamation plan? Y <br />E <br />S NO <br />4. Total acres affected during the report year:* '-~_!; / <br />~ <br />5. Total acres reclaimed for the report year:* ,~ <br />6. Total nurt+ber of acre:; in topsoil replacement stage: <br /> a. Average thickness; of topsoil replaced: <br />7. Total number of acre: seeded: <br /> a. List species seeded & seeding rate for report year on back <br />8. For non-phased operations provide dates extraction ceased: Sr~u HC-n /t <br /> a. Date reclamation began: ' <br />9. The type and approxirt+ate quantity of fertilizers, organic mater ial or soil <br /> conditioners used fox' the report year:* ~ <br />10. <br />11 . Estimated tJo~tal acres to ble affected in th neXt report year:* -0~ <br />COMMENTS : , l lAF[~b~MC a rn~~ruln~ J' ~e~ ~ -F/d[ r ~, ~.i Si ~e. S~ Y !~(' U <br /> <br /> <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, correlated with <br />your timetable. For phased operations show dates extraction ceased aryryl~d~ates <br />reclamation began. ~~ CNA~S z(~ M/j/J ,Scrdmm"E'D LUIY!•~ LnST /~oQT, <br />** NOTE: If there have not been any changes since the last annual report and you <br />previously submitted a map ich correctly depicts the current acreage in items 2 <br />through 6~hen a new ma~ unnecessary. However, this must be stated above. <br />Signature:~- <br />Please type or print current <br />Date: UEC /~, /990 <br />name, mailing address, and phone number below: <br />Contact Name : t~A~e O,Q a~ Phone : ( 970 ~)y~~~.5/~- 2'9zS <br />~19~ FAX NO: ( ~' Po `~' ~3C S <br />company: ~QES7 i~ ~~TFb GtS~e~~['T <br />Address:~~ ~~ <br />.,~/ , CD ~iirz-o~~o <br />Federal Tax ID No. or Social security No.: d ~" `~~-j 8992 <br /> <br />