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~ ~. r Permittee Name: Rocky Mountain Materials 96 Permit No: /YI-S ;~ -cU I ! 1: a ~';, t i ~: n i:,:;;~ : , Division or mmerais A 5y Q~2o5~ RrHti~l-i Qeo~o Anniversnry Gate: ,~ uN`_ ay, i55L Total: _~.S v.e ~ (Due on your Anniversary Date> i 1. a. Permitted acreage: ,~~'~~ b. County where mine is located: ~i t:~',~.~.~ 2. Has this mine been granted TEMPORARY CESSATIOIJ STATUS? YES NO Does this mine operate t40RE or LESS than 180 days per year? 10 LESS~- Do you extract MORE or LESS than 70,000 tons of mineral or ~~ overburden a year? 140RE LESS 3. Does this mine have a phased reclamation plan? ~ YES ,~I~ NO 4. Total acres affected during the report year:* '"1 5. Total acres reclaimed for the report year:* 6. Total acres in various~tages of reclamation:* a. Backfilled: ~_ d. Topsoil replaced: b. Graded: S Average topsoil thickness c. Seeded: ~ replaced: List species seeded & seeding rate for report year on back • • . Notice of Intent to Continpe dining Operations ~FrFll/ 110(2) Annual Report JUG, 1 O 9D 7. The type and approximate quantity of fertilizers, organic material or soil conditioners used for the report year:* 8. Estimated total acres to be affected in the next report year:* ~ S - 9. CC1114ENTS: MLtJN~ tJln `I- 6ZLC~A •ti,/+I~~ 1,Jil,t_ 1~., 1.1`i IJQ~ ~~S ~ C~f\ nl t`1 Contact Name: Phone: (7~S > y>3~'3~~~ Company: ~-~i~~ Address: Please type or print current contact name, mailing address, and phone number below: * P12ase show the location of the acreage for items 4 - 6 on your map**. Indicate the phases of the reclamation which have been completed, correlated with ynrir timetable. previously submitted a map which correctly•~depicts the current acreage in items 2 through 6, t~he~,ny~a ne,a ma is ur ecessaiy. However, this must be s~itated above. Signature: / + / , ~ ~~ Dater ~ d~ Federal Tax ID No. or Social Securit:i No.: ~~~,~1L1~_---