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~ ~~ <br />III IIIIIIIIIIIIIIII ig Operations <br />Notice of Inten' <br />110cu riniiua9 „~..,,.. <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />Gunnison County <br />M-91-104 <br />Nicolas Brothers Pit <br />09/17/94 <br />~~ r •... , <br />A~6 Og - <br />L~:!•;~n <br />~ o, r.,rnei~'s d `aV o~ <br />Y <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 />Do you extract MORE or LESS than 70,000 tons of mineral or <br />overburden a year? <br />2 <br />3 <br />4 <br />5 <br />6 <br />7 <br />8 <br />9 <br />YES NO _ <br />MORE LE <br />MORE LE S <br />YES <br />ID <br />D <br />a. Backfilled: d. Topsoil replaced: <br />b. Graded: Average topsoil thickness <br />c. Seeded: replaced: <br />List species seeded & seeding <br />rate for report year on back <br />Does this mine have a phased reclamation plan? <br />Permitted acreage: <br />Total acres affected during the report year:* <br />Total acres reclaimed for the report year:* <br />Total acres in various stages of reclamation:* <br />The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:' <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. <br />** NOTE: If there have not been any changes since the last annual report and you <br />previously submitted a map which correctly depicts the current acreage in items 2 <br />through 6, hen a new map is unnecessary. However, this must be stated above. <br />Signature: Date: g~~~9~' <br />Please type or print current contact name, mailing address, and phone number below: <br />Contact Name: ~ LL/l ~ Phone: (303 > 141-i~U~ / <br />Company: h <br />Address: nll~{{~ Q ~;o Gvra.r,~e <br />l7LlV1V1 i Sf~v1 r"~A ~~d i,°~ <br />OV <br />P <br />Federal Tax ID No. or Social Security No.: <br />Estimated total acres to be affected in the next report year:* oZ. <br />