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.. <br />J <br />~ • III III III III IIII III • <br />Notice of Int 999_...__ ..,ninq;Operations <br />110(2) Annual Report <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />Patrick L Cugnini <br />M-86-061 <br />Cugnini Gravel Pit <br />07/21/93 <br />.4E~~ElVEC <br />~~~ 26 Igg~ <br />Oro'sron o~ mi,nerdrs <br />$225.00 (Due on your Anniversary Date) " Ueoroyy <br />1. Has this mine been granted TEMPORARY CESSATION STATUS? <br />Does this mine operate ~RE or LESS than 180 days per year? <br />o N i7 <br />2a. Financial Warranty: $_3~'~_~ 00 2b. Permitted acreage <br />3. Does this mine have a phased reclamation plan? <br />4. Total acres affected during the report year:* <br />5. Total acres reclaimed for the report year:* <br />NO <br />MORE LESS <br />ES NO <br />6. 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 seeded & seeding <br />rate for report year on back <br />7. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* "~ <br />8. Estimated total acres to be affected in the next report year:* <br />9. COMMENTS: 4,`i G0~ @ r F_ ~ Pa Y /NA 7`/Se~ P»~ QL' F/2PA ALLO TTe, <br />~h/s yea r o~- iri 199 Qf La~sT. <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. <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 />umber below: <br />Signature: ~ ~ ~ Date: 7 - 02 D _Jr'3 <br />Please type or print rrent contact name, mailing address, and phone n <br />Contact Name: <br />Company: <br />Address: <br />Phone: (303 )~Y7- ~38d <br />Federal Ta. ID ruo. or Social Se ,~lta No.: ~al~~ oC 0"' D~~ / <br /> <br />