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<br />•~ <br />•~ <br />r 1 Notice of In tent-to C[k~tinue'Mining Operations <br />112 Annual•Report <br />Permittee Name: Farmers Bank of Brush <br />Permit No: M-BO-135 <br />Operation Name: Headley Farms* <br />Anniversary Date: 10/07/93 <br />Total: $550.00 (Due on your Anniversary Date) <br />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: $ 20.000 2b. Permitted acreage <br />3. Does this mine have a phased reclamation plan? <br />4. Total acres affected during the repo~'t year:* <br />5. Total acres reclaimed for the report year:* <br />III IIIIIIIIIIIII III <br />!'~,. <br />s~p~81yy3 . <br />r ~.. <br />YES NO <br />MORE ESS • <br />57 arrac <br />YES NO <br />1/2 acre <br />-0- <br />6. Total acres in various stages of reclamation:* <br />a. Backfilled: -0- d. Topsoil replaced: -0- <br />b. Graded: -0- Average topsoil thickness <br />c. Seeded: -0- replaced: -0- <br />List species seeded & seeding <br />rate for report year on back <br />7. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:' none used <br />8. Estimated total acres to be affected in the next report year:* Two (2) <br />9. COMMENTS: There have been no changes since last report. Please refer to the <br />map submitted in 1990. <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 repor[ and you <br />previously submitted a map which correctly depicts the current acreage in items 2 <br />through 6, then a new map is unnecessary. However, you must state this fact above. <br />Signature: /~/y~,C ~ L~_ Date: Sevtember 24, 1993 <br />Mark A Je en, Vice President <br />Please type or print current contact name, mai ng address, and phone number belo . <br />Contact Name: Mark A Jensen Phone: ( 303) 842-5101 <br />Company: The Farmers ~tyt.e_Bank of Brnah <br />Address: P 0 Box 324 <br />Brush CO .80723=0324 <br />Federal Tax ID Nc , ~ , ~ 't~ "io.: \\~~ <br />-- ---- - - -- - - - ~O <br />