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<br />, <br />i <br /> <br />•r <br />Pe rmittee Name: <br />Permit No. . <br />Operation Name: <br />Anniversary Date: <br />Total: <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />B. <br />9. <br />10 <br />Notice of Intent to Con~99g ,. .. Operations <br />112c Construction Materials Annual Report <br />Hall-Irwin Construction Co. <br />M-96-060 <br />Fire stien Pit <br />December 31, 1998 <br />$550.00 (Due on your Anniversary Date) <br />a. Permitted acreage <br /> <br />b. County where mine is located: ~~~ <br />Has this mine been granted TEMPORARY CESSATION STATUS? <br />Does this mine operate MORE or LESS than 160 days per year? <br />Does this mine have a phased reclamation plan? <br />Total acres affected during the report year:* <br />Total acres recta imed for the report year:* <br />Total number of acres in topsoil replacement stage: <br />a. Average thickness of topsoil replaced: <br />Total number of acres seeded: <br />a. List species seeded & seeding rate for report year on back <br />For non-phased operations provide dates extraction ceased: <br />a. Date reclamation began: <br />~iECEIVED <br />JAN 04 1999 <br />~imswn of Minerals 8 Geology <br />YES NO <br />ORE LESS <br />YES NO <br />~S <br />~_ <br />~~ <br />IL' <br />The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report yea r:* 10+.1 •= <br />Estimated total acres to be affected in the next report year:* Z ~ <br />11. COMMENTS: <br />* Please show the location of the acreage for items 4 - 6 on your map**. Indicate <br />the phases of the reclamation which have been completed, correlated with your timetable. <br />For phased operations show dates extraction ceased and dates 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 through <br />6, then a new~map is unnecessary. However, this must be stated above. <br />Signature: Date: ~~ ~~ <br />Please type print address, and phone number below <br />Contact Name: <br />Company: <br />Address: <br />Federal Sax ID No. or Social Security No <br />Phone : ( 970 ) 352-19QS7 <br />FAX NO: (9~) 3SL -~uZB~I <br />~'y-oszy S73 <br />