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~'~ o~y <br />III IIIIIIIIIIIII III • ~ ~~ <br />Notice of Intent to Continue Mining Operations R EC EIV ED <br />110c Construction Materials Annual Report <br />Permittee Name: L Otto Goemmer ~ ~-'~`-"~-" AUG U 61997 <br />Permit No. M-82-129 <br />Operation Name: Rocky Flat Gravel* <br />Anniversary Date: August O5, 1997 <br />Total: $225.00 (Due on your Anniversary Date~iVi5i0f1 of MinOrdls&09010gy <br />1. a. Permitted acreage: 9 t b. County where mine is located: .a..~~ c <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? YES <br />Does this mine operate MORE or LESS than 160 days per year? p~8d LESS <br />3. Does this mine have a phased reclamation plan? YES NO <br />4. Total acres affected during the report year:* -~~~ L`' <br />T <br />5. Total acres reclaimed for the report year:* Q <br />6. Total number of acres in topsoil replacement stage: _ _ O <br />a. Average thickness of topsoil replaced: <br />7. Total number of acr~=_s seeded: <br />a. List species se~=_ded & seeding rate for report year on back <br />8. For non-phased operations provide dates extraction ceased: <br />a. Date reclamation began: <br />9. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* <br />10. Estimated total acres to be affected in the next report year:* ~-n...,.,,, }" <br />11. CONIIdENTS: <br />* Please show the location of the acreage for items 4 - 6 on your map**. <br />Indicate the phases of the reclamation which have been completed, correlated with <br />your timetable. For phased operations show dates extraction ceased and dates <br />reclamation began. <br />** NOTE: If there have not been any changes since the last annual report and you <br />previously submitted a map which correctly depicts the current acreage in items 2 <br />through 6, then a new map is unnecessary. However, this must be stated above. <br />Signature: Date: ~/.[~ --!'~' / ,~ <br />Please type or p nt urpre~nt contact name, mailing address, and phone n~uzmber below: <br />Contact Name: ~~o~ / Phone: ( ) // ~~ <br />(O00/ FAX NO: ( ) ~~ <br />Company: / <br />Address: ~`~ ~ / 6 5 <br />/~.~i~. ,D ~/GSA <br />Federal Tax ID No. or Soc i~~l Security No.: ~Z~ - Y Y - ~ `~ `-' <br />