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~ ~ III IIIIIIIIIIIIIIII ..• ~i a. <br />Notice of 1 sss Mining Operatioifsl~~,rj~r , <br />110(2) Annual Report _ <br />Permittee Name: Ron E'd~berts $~P 28199 <br />Permit No: M-80-038 UIV15i~~~ ~~ <br />Operation Name: Disappointment Valle MINERALS & ~t.:~,. <br />Anniversary Date: 10/01/92 <br />Total: $175.00 (Due on your Anniversary Date) <br />1. Has your mine been granted TEMPORARY CESSATION STATUS? YES NO <br />Does your mine operate MORE or LESS than 180 days per year? MORE LESS <br />2a. Financial Warranty: S 2b. Permitted acreage: <br />3. Do you have a phased reclamation plan? <br />4. Total acres affected during the report year:* <br />5. Total acres reclaimed for the report year:* <br />YES 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 />zi? e~ <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, you must state this fact above. <br />Signature: ~Dl~ ~~`-'/`[,./% Date: ~'- ~ S- 9 ~ <br />Please type or pri/n~t current//contact name, mailing address, and phone number below <br />Contact Name: U\ bv~ f~>~"P.,~ Phone: (.303) 6 77-~`~7~ <br />Company: <br />Address: (~[~ ~ S D <br />Federal Tax ID No. or Social Security No.: J ,1a~ <br />~1~ <br />8. Estimated total acres to be affected in the next report year:* <br />