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• III IIIIIIIIIIIII <br />III <br />Notice of Intent 'to Cdn[rnue ru uiuy Operations <br />110c Construction Materials Annual Report <br />Permittee Name: Fremont County <br />Permit No. M-86-010 <br />Operation Name: Cottonwood Pit• <br />Anniversary Date: January 20, 1998 <br />Total: $225.00 (Due on your Anniversary Date) <br />Rem; Zb~`I <br />ct('. ovzZ 73 <br />RECEIVED <br />APR 0 3 1998 <br />Division of Minerals & Geology <br />1. Contract Dates: Beginning date: Completion date: <br />2. a. Permitted acreage: ~. 95 b. County where mine is located: <br />3. Has this mine been granted TEPIPORARY CESSATION STATUS? <br />4. Does this mine operate MORE or LESS than 180 days per year? <br />5. Does this mine have a phased reclamation plan? <br />6. Total acres affected during the report year:` <br />7. Total acres reclaimed for the report year:` <br />8. Total number of acres in topsoil replacement stage: <br />a. Average thickness of topsoil replaced: <br />9. Total number of acres seeded: <br />a. List species seeded & seeding rate for report year on back <br />F,/r <br />YES NO <br />MORE SS <br />YES N6 <br />Ns A(6W <br />O <br />Nq <br />N <br />N R <br />10. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:` Nll4 <br />11. Estimated total acres to be affected in the next report year:` ~ ~!~ /ST <br />12. COMMENTS: 2, 65~0~,~1 M//Yfd ~i{•Al~~ a`PR.~!/r~~~<s~i~f.~~ <br />~% .KOP <br />• Please show the location of the acreage for items 4 - 6 on your map••. Indicate the <br />phases of the reclamation which have been completed, correlated with your timetable. <br />•+ NOTE: If there have not been any changes since the last annual report and you <br />previously submitted a map which cozrectly depicts the current acreage in items 2 through <br />6, then a new map is unnecessary. However, this must be stated above. <br />Signature: !~~ E~~ /ill Date: ~/78 <br />Please type or print current contact name, mailing address, and phone number below: <br />Contact Name: /°IA~/~I~/G bLTL~ie Phone: (7~Q9 1 27Jr'`~s/Q <br />,I' ///~/~J] Q/ FAX N0: (7/7 1 Z7S~ 7538 <br />Company: ~~(YwV~1f~/f//mn~1''l.t'l'~~~L~ <br />1 Address: ~A/S ~~'/ALI~ffL~ . ~i~(. 6.+~5 <br />L'.QLL~1!/(~LY~/T~lLi~iOlYl ~ZQ/Z / ~~//~~//1~ ~f/ <br />' Federal Tax ID No. or Social Security No.: ~!/~'~G~/Til"/7~S <br />