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<br />Permittee~ Name: <br />Permit No. . <br />Operation Name: <br />Anniverse~ry Date: <br />Total: <br /> <br />^R:ec tf04bZ <br />~ ~.~ # 352 <br />~i ~ ~-~ <br />Notice of Intent to Continue Mining Operations <br />110c Construction Materials Annual Report <br />ACT 0 3 1997 <br />Mike Coleman and Jerry Seifert <br />M-91-083 <br />Ula Pit .. ,., ~~..~ " n~nr),. <br />October 29, 1997 _GC"- <br />$225.00 (Due on your Anniversary Date) <br />1. a. Permitted acreage: lh b. County where mine is located : r „~ra,- <br />2. Ha:~ this mine been granted TEMPORARY CESSATION STATUS? YES NO <br /> Does this mine operate MORE or LESS than 180 days per year? MORE LESS <br /> <br />3. Does this mine have a phased reclamation plan? YES NO <br />4. Total acres affected during the report year:* 1 <br /> 0 <br />5. Total acres reclaimed for the report year:* <br />6. Total number of acres in topsoil replacement stage: ~ __ ______, <br /> a. Average thickness of topsoil replaced: 0 <br />7. Total number of acres seeded: 0 <br /> a. List species seeded & seeding rate for report year on back <br />8. Fox- non-phased operations provide dates extraction ceased: <br />a. Date reclamation began: <br />9. They type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* None <br />10. Estimated total acres to be affected in the next report year:* 2 <br />11. CON.MENTS: <br />* Please show the location of the acreage for items 4 - 6 on your map** <br />Indicate '.he phases of the reclamation which have been completed, correlated with <br />your time'=able. 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 />previousl~i 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: IO' 1 ~9 <br />Please type or print current c ntact name, mailing address, and phone number below: <br />Contact Neime: Mary Seifert <br />Company: Custer County Concrete <br />Address: P.O. Box 305 <br />Westcliffe. Co. 81252 <br />Federal Tsx ID No. or Social Security No.: <br />~@ <br />Phone: ( 719 ) 783-2757 <br />FAX N0: ( ) same <br />