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4 • • <br />III IIIIIIIIIIIIIIII ~E~E~vE~ <br />Notice of Intent to l:oniinue miring Operations J UL 1 0 1991 <br />110(2) Annual Report <br />Permittee Name: <br />Permit No: <br />Operz~tion Name: <br />Anniversary Date <br />Total: <br />M. Sims Gravel Company <br />M-87-103 <br />East Douglas Pit <br />08/24/91 <br />Mined sand <br />Neclamation Division <br />X120.00 (Due on your Anniversary Date) <br />1. hlas your mine been granted TEMPORARY CESSATION STATUS? <br />Uoes your mine operate MORE or LESS than 180 days per year? <br />2. total acres affected during the report year:* <br />3. Total acres reclaimed for the report year:* <br />4, Total acres in various stages of reclamation:* <br />a. Backfilled: ~- d. <br />h. Graded: <br />c. Seeded: .~ <br />List species seeded & seeding <br />rate for report .year on back <br />5 <br />6. Estimated total acres to be affected in the next report year:* -- <br />7. <br />* <br />NOTE: If there have not been any changes since the last annual report and <br />,you previously submitted a map which correctly depicts the current acreage in <br />items 2 through 6, then a new map is unnecessary. However, you must state this <br />fact above. <br />Signature: `~~J~Q/~„/ ,,~,~~ Date: <br />c <br />Please type or print current contact name, address, and <br />Contact Name: ii,~. rPd Sim s Pho <br />Company: ~~ ~ rn c ~ 4'a vet (~n . <br />Address: P /~, /~ r~ Y, / <br />~?a,~T~ ; (' c ~ 1 ~ µ u <br />Feder<~1 Tax ID No. or Social Security No.: b2 I _ 3 g <br />YES NO <br />MORE LESS <br />SCtI'-1P. u5 199 <br />Topsoil replaced: <br />Average topsoil thickness <br />replaced: <br />The type and approximate au antity of fertilizers, organic material or soil <br />conditioners used for the report year:* <br />phone number below: <br />(303 )67~-~.30~ <br />~~~ ~~~.~ <br />,~11 <br />- 7~O 7~ <br /> <br />Please show the location of the acreage for items 2 - 6 on your map**. <br />Indicate the phases of the reclamation which have been completed, correlated <br />with your timetable. <br />