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<br />q~n <br />Notice of Intent to Continue Mining Operations sip !rj~~~ <br />112 Annual Report <br />~S~OODIM, 2>>993 <br />Permittee Name: farmers Bank of Brush <br />Permi t No: M-80-135 - ~P~q,, <br />Operation Name: Headley Farms* ° ~N <br />Anniversary Date: 10/07/95 °jUgy <br />Total: $550.00 (Due on your Anniversary Date) <br />1. a. Permitted acreage: 53 b. County where mine is located: MoRGAN <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:* -0- <br />6. Total acres in various stages of reclamation:* <br />a. Backfilled: -0- d. Topsoil replaced: -0- <br />b. Graded: -0- Average topsoil thickness <br />replaced: -0- <br />c. Seeded: -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 chanfzes since last report. Please refer to map <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 />** N~IE: 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 mau 's unnecessary. However, you must state this fact above. <br />Signature: Date: September 26. 1995 <br />teven Dupp Sr. V.P. <br />Please type or print current contact name, mailipg address, and phone number below: <br />Contact Name: ~r~ n„p~~, sr. vy ire rr~~~ident Phone: (970 > 842-5101 " <br />COmpdny: The Farmers State Bank of Brush <br />Address: P.o. Box 324 <br />Brush, Colorado 80723-0324 <br />Federal Tax ID No. or Social Security No.: <br /> <br />