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~` 1 <br /> <br />'• • III III III III IIII III • <br />999 <br />Notice of Intent to Continue Mining Operations <br />110(2) Annual Report <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />Cripple Creek & Victor Gold <br />M-88-098 <br />Blue Flag Mine Dump <br />11/21/94 <br />,. ~ <br />,/~ <br />RECEIVED <br />NOV 21 1994 <br />$225.00 (Due on your Anniversary Da~~y~ionofMineraisa(;eology <br />1. a. Permitted acreage: b. County where mine is located: <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? YES NO <br /> Does this mine operate MORE or LESS than 180 days per y ear? MORE LESS <br /> Do you extract MORE or LESS than 70,000 tons of mineral or <br /> overburden a year? MORE LESS <br />3. Does this mine have a phased reclamation plan? YES NO <br />4. Total acres affected during the report year:' <br /> <br />5. Total acres reclaimed for the report year:* <br /> <br />6. Total acres in various stages of reclamation:* <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 />7 <br />The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* <br />8. Estimated total acres to be affected in the next report year:* <br />9. COMMENTS: <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, then a new map is unnecessary. However, this must be stated above. <br />Signature: <br />Date: <br />Please type or print current contact name, mailing address, and phone number below: <br />Contact Name: <br />Company: <br />Address: <br />federal Tax ID No. or Social Security No.' <br />Phone: ( > <br />~~~ <br />~~~~ <br />~~a' <br />