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ermittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />• iii iiiiiiiiiiiu iii • <br />999 <br />Notice of Intent to Continue Mining Operations <br />110(2) Annual Report - <br />Lakewood Brick & Tile Company <br />M-75-009 <br />Doughty's Pit* <br />09/30/93 <br />$225.00 (Due on your Anniversary Date) <br /> <br />vcr s T99,~ <br />1. Has this mine been granted TEMPORARY CESSATION STATUS? YES NO / <br />Does this mine operate MORE or LESS than 180 days per year? h10RE LESS <br />2a. Financial Warranty: $5,000.00 2b. Permitted acreage: <br />3. Does this mine have a phased reclamation plan? YES NO <br />4. Total acres affected during the report year:* No~iPw F~noGn,-a <br />5. Total acres reclaimed for the report year:* I~ot ready <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 : N/A <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:* N/A <br />8. Estimated total acres to be affected in the next report year:* _ -0- <br />9. COMMENTS: Lakewood Brick intends to continue the operation <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 rE~port 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 staked above. <br />Signature: Date: October 4, 1993 <br />Please type print current contact name, mail address, and phonE~ number below: <br />Contact Name: James R. Murray Phone: ( 303 > x:38-5313 <br />Company: Lakewood Brick & Tile Co. <br />Address: <br />1325 Jay Street <br />Lakewood, CO. 80214 <br />Federal Tax ID No. or Social Security No.: <br />~~a~ <br />`off <br />