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• • <br />Notice of Intent to Continue Mining Operations <br />112 Annual Report <br />Permittze Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Western Paving Cosntruction <br />M-88-042 <br />Cottonwood Pit <br />10/12/90 <br />Please return this Annual Report form with your completed Map** to the Mined <br />Land Reclamation Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />ANNUAL REPORT: <br />1. Has your mine been granted TEMPORARY CESSATION STATUS? YES NO <br />Does your mine have INTERMITTENT USE STATUS during the year? YES NO <br />2. * Number of acres affected during the report year <br />3. * Number of acres reclaimed for the report year . <br />4. * Number of acres in various stages of reclamation: <br />a. Backfilled c. Topsoil replaced <br />b. Graded d. Seeded ... <br />5. * The type and approximate quantity of fertilizers, <br />organic material or soil conditioners used <br />6. * Estimate the number of acres to be affected in the next year , <br />* Please show the location of the acreage for 2 - 6 on your map. The map shall be <br />to a scale of not less than 100 feet to the inch and not more than 660 feet to <br />the inch, indicating the phases of the reclamation plan which have been <br />complei:ed, correlated with the timetable. <br />** NOTE: Anew report map is not necessary if there have not been any changes, <br />but pleasE~ state that no changes have taken place in the past year. <br />Si gnature: <br />Date: <br />Please list current contact name, address, and phone number below: <br />Please type or print <br />Contact Name: _ <br />Aaaress: <br />Phone: ( ) <br />