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<br />III IIIIIIIIIIIII III ~~ <br />Notice of Intent .... ~...... 999 ~ .._.._..g Operations <br />112c Construction Materials Annual Report ~~ <br />Permittee Name: Coulson Excavating Co Inc <br />Permit No. M-86-026 ~••~~a .. <br />Operation Name: Challenger Pit* <br />Anniversary Date: January 31, 1997 <br />Total: $550.00 (Due on your Anniversary Date) <br />1. a. Permitted acreage: 105.0 b. County where mine is loca <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? <br />Does this mine operate MORE or LESS than 180 days per year? <br />3. Does this mine have a phased reclamation plan? <br />4. Total acres affected during the report year: <br />5. Total acres reclaimed for the report year:* <br />6. Total number of acres in topsoil replacement stage: <br />a. Average thickness of topsoil replaced: <br />7. Total number of acres seeded: <br />a. List species seeded & seeding rate for report year on back <br />8. <br />9. <br />10 <br />11 <br />For non-phased operations provide dates extraction ceased: <br />a. Date reclamation began: <br />The type and approximate quantity of fertilizers, organic mater <br />conditioners used for the report year:* n/a <br />Estimated total acres to be affected in the next report year:* <br />no changes in map previously submitted <br />COMMENTS: <br />* Please show the location of the acreage for items 4 - 6 on you map**. <br />Indicate the phases of the reclamation which have been completed, cor elated with <br />your timetable. For phased operations show dates extraction ceased a d dates <br />reclamation began. <br />** NOTH: If there have not been any changes since the last annual re <br />previously submitted a map which correctly depicts the current acreac <br />through 6, then a new map is unnecessary. However, this must be stat <br />Signature: /r~.~C~~-!-%~l ~ • ~~09~~ Date: January 2 <br />Please type or print current contact name, mailing address, and phone <br />rt and you <br />in items 2 <br />above. / <br />1997 <br />number below: <br />Contact Name: Richard Coulson Phone: 970 667-2178 <br />FAx No: ( 970 667-2193 <br />Company: Coulson Excavating Co., Inc. <br />Address: 3609 No. Co. Rd. 13 <br />Loveland, Co. 80538 <br />Federal Tax iD No. or Social Security No.: <br />•,. <br />~ `. . <br />Z 3~199~" <br />~ .'~Olil <br />ted: We]d <br />YES N, <br />MORE LES <br />E`9 NO <br />none <br />none <br />none <br />n/a <br />none <br />~ial or soil <br />three <br /> <br /> <br />