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~ ECEIVE© <br />Notice of Intent to III IIIIIIIIIIIIIIII aerations JUL 0 J 1991 <br />110(2) ,vnnual Report <br />Mined Land <br />Permittee Name: Downare Land Cattle eclamation Division <br />Permit No: M-84-101 <br />Operation Name: Chaparral Meadows <br />Anniversary Date: 08/13/91 <br />Total: $120.00 (Due on your Anniversary D e) <br />1. Has your mine been granted TEMPORARY CESSATION STATUS? YES ENO <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:* ~~ <br />4. Total acres in various stages of reclamation:* <br />a. Backfilled: d. Topsoil replac <br />b. Graded: Average topsoil thickness <br />c. Seeded: replaced: <br />List species seems seeding <br />rate for report year on back <br />5. The type and approximate quantity of fertilizers, organic mat rial or soil <br />conditioners used for the report year:* <br />6. Estimated total acmqes to be affected in the next~rLeport year: <br />7. COMMENTS: _ /~L~ ~l/~.. a z.~ _~ Dom.. D. ,,D .r,. U /_~ .10..E D~ .~ <br />* Please show the location of the acreage for items 2 - fl'/on you map**. <br />Indicate the phases of the reclamation which have been complet d, correlated <br />with your timetable. <br />NOTE: If there have not been any changes since the last annual r port and <br />you previously submitted a map which correctly depicts the Curren acreage in <br />items 2 through 6, then a new map is unnecessary. However, you m st state this <br />fact above. ~~ I <br />Signature: l/•'_-r~u,wtl/,', Date: - - <br />Please type r print •urrent contact name, address, and phone num er below: / <br />Contact Name: Phone: ( ~ ) -~ 1 ~~ (// <br />Company: ,U ~ ~P / <br />Address: , <br />e,1 d p ~ c/~ <br />Federal Tax ID No. or Social Security No.: ~ ~/' ~" <br />~° ^ ` n ~~ <br />d ~I 4 1X,1 <br />