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<br /> ~ ~ III IIIIIIIIIIIIIIII <br /> <br /> R E <br /> Notice of Intent to Continue Mining Operations C ~~~~~=~ <br /> 112 Annual Report °`" <br /> SEP 2 6 ~ggg <br />Permittee Name: Farmers Bank of Brush DlUls <br />Permi t No: M-80-135 ti ,. <br />-1NE <br />R <br />Operation Name: Headley Farms* ALS s., <br />,`; <br />Anniversary Date: 10/07/96 , <br />'''•~ <br />Total: $550.00 (Due on your Anniv ersary Date) <br />1. a. Permitted acreage: 53 b. County where mine is located: rlnuc:aN <br />2. Has 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 />3. Does this mine have a phased reclamation plan? YES NO <br />4. Total acres affected during the report year:* one (1) Acre <br />5. Total acres reclaimed for the report year:* -n- <br />6. Total acres in various stages of reclamation:* <br />a. Backfilled: -0- d. Topsoil replaced: _n_ <br />b. Graded: -0- Average topsoil thickness <br />c. Seeded: _p_ replaced: -0- <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:* NONE USED <br />8. Estimated total acres to be affected in the next report year:* one (1) <br />9. COMMENTS: There have been no changes since last report. Please refer to map <br />submitted in 1990 <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 />you~rl TTtCCimetable. <br />** iY01C: 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: 7 ~ Date: September 25. 1996 <br />Judy 1 og 11, Pei onal Banking Officer <br />Please type or int current contact name, mailing address, and phone number below: <br />ContdCt Ndme: Judv N Coghill Per Banking Ofc Phone: ( 970) 842-5101 <br />Company: The Farmers State Bank of Brush <br />Address: P 0 Box 324 <br />Brush. Colorado 80723-0324 <br />Federal Tax ID No. or Social Security No.: <br />