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~ <br />~~ ' iii iiiiiiii iiiuiii ~ ~ ~` .: ~~ <br /> Notice of Intent 999 ig Operations JAN1 6 199? <br /> 110(2) Annual Report <br /> Mi~~-' L: ~d <br />Permittee Name: Fremont County ~~-•-_ _,_ <br />Permit No: M-86-O10 <br />Operation Name: Cottonwood Pit <br />Anniversary Date : 01/20/92 <br />Total: 5120.00 (Due on your Anniversary Date) ~ 5~ <br />1 <br />1. Has your mine been granted TEMPORARY CESSATION STATUS? YES NO <br />Does your mine operate MORE or LESS than 180 days per year? MORE LESS <br />2. Total acres affected during the report year:* _'~ <br />3. Total acres reclaimed for the report year:* /Ud~11 F_ <br />4. Total acres in various stages of reclamation:* <br />a. Backfilled: _ d. Topsoil replaced: >J e_ <br />b. Graded: _ Average topsoil thickness <br />c. Seeded: ~ {~ replaced: //bhi r . <br />List species seeded & seeding <br />rate for report year on back <br />5. The type and approximate quantity of fertilizers, p[ganic material or soil <br />conditioners used for the report year:* !~ D N ~ <br />6. Estimated total acres to be affected in the next report year:* /D <br />7. COMMENTS: _ <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 />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 />Ro~~ <br />Signature: ~ `j\LQ~ ~„r~,,,a,y <br />Please type or print current contact name, addre <br />Contact Name: 11Ji4X ~+~~5 <br />Company: ~fPMO,J~ C~a.N~n,S~_3 <br />Address: br ~' MC~CO n.1 <br />~ .v~~a ~~~ t,. c o e• a.~ <br />Federal Tax ID No. or Social Security No.: <br />Date: ~~'~=c~ <br />ss, and phone number below: <br />P one: ( 7i9) a?5"-3/ ~~ <br />l~V~~ <br />~~~ <br />