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1111111111111111111 • R~cEivE~ <br />Notice of Intent to Continue Mining Operations <br />110(2) Annual Report <br />AUG 21 1991 <br />Permittee Name: Kiowa County <br />Permit No: M-83-116 Mined Land <br />Operation Name: Gentz Gravel Pit Reclamation Dn^ivisfon <br />Anniversary Date: 08/25/91 ~:f" <br />Total: X120.00 (Due on your Anniversary Date) / ~~ 8,/ <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:* J <br />3. Total acres reclaimed for the report .year:* r~ <br />4. Total acres in various stages of reclamation:* <br />a. Backfilled: d. Topsoil replaced: <br />b. Graded: Average topsoil thickness <br />c. Seeded: replaced: <br />list species see~ed~edinq <br />rate for report year on back <br />5. The type and approximate quantity of fertilizers, or anic material or soil <br />conditioners used 'for the report year:* Nf/e}' <br />6. Estimated total acres to be affected in the next report .year:* <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 />Signature: Date: `~- b ' ~/~ <br />Please type or print c •rent contact name, address, and phone number below: <br />Contact Name: ~ Phon c ( rf~ f) ~,~~- d`~~'a. <br />Company: ~ c <br />Address: ~ e x S 9/ <br />E.9oS ~d ~/a3~ " <br />Federal Tax ID No. or Social Security No.: O 7 - (O O D D / 7~ Q ~-\ <br />0\ <br />