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iuiii <br />iii iiiii ~~~g <br />iii <br />• , <br />Y <br />~ <br /> ~~v <br /> nrr~)~`~ <br />~~ <br />Notice of Intent to Continue Mining Operations ~- <br />112c Construction Materials Annual Report <br /> <br />Permittee Name: Farmers Bank of Brush R (] <br />AUG ~ 4 19J~ <br />Permit No. M-80-135 <br />Operation Name: Headley Farms <br />Anniversary Date: October 07, 1997 tlivision ui~+wiu~eibdl,uaolOgy <br />Total: $550.00 (Due on your Anniversary Date) <br />1. a. Permitted acreage: 53 b. County where mine is located: MORf:AN <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? YES NO <br />Does this mine operate MORE or LESS than 180 days per year? MORE (LESS <br />3. Does this mine have a phased reclamation plan? YES ~NO <br />4. Total acres affected during the report year:* One (1) Acre <br />5. Total acres reclaimed for the report year:' -0- <br />6. Total number of acres in topsoil replacement stage: -0- <br />a. Average thickness of topsoil replaced: _O_ <br />7. Total number of acres seeded: -0- <br />a. List species seeded & seeding rate for report year on back <br />8. For non-phased operations provide dates extraction ceased: n/a <br />a. Date reclamation began: n/a <br />9. The type and approximate quantity of fertilizers, organic materi al or soil <br />conditioners used for the report year:* NONE USED <br />10. Estimated total acres to be affected in the next report year:* One (11 <br />11. COMMENTS: There have been no changes since last report. Please refer to <br />mao 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, corr elated with <br />your timetable. For phased operations show dates extraction ceased an d dates <br />reclamation began. <br />** NOTE: If there have not been any changes since the last annual rep ort and you <br />previously submitted a map which correctly depicts the current acreage in items 2 <br />through o', then a new map ~~ urrecessary. However, this must be state d above. <br />Signature: ~, AZf~, ~ (~'K ~ Date: AuKUSt 7, 1997 <br />Judy Co h 1, sonal Banking Officer <br />Please type or print current contact name, mailing address, and phone number below: <br />Contact Name: ,yy N Cn~hi~ Par Rankino Ofcr Phone: ( 970 ) 842-5101 <br />FAX NO: (970 ) 842-5105 <br />Company: THE FARMERS STATE BANK OF BRUSH <br />Address: P 0 BOX 324 <br />BRUSH CO 80723-0324 <br />Federal Tax ID No. or Social Security No.: Rd-O~00000 <br />~@ <br />