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.. PP r1 ~ ~~~ ~~~~~~~~~~~~~ ~~~ ~ <br />sss <br />r- n ._ <br />Notice of Intent to Continue Mining Operations n L V ,^' <br />112 Annual Report <br />Permittee Name: Transit Mix Concrete JAN q lggl <br />Permit No: M-73-007SG <br />Operation Name: Daniels Sand Pit 2 Mined ~~-;, <br />Anniversary Date: 01/01/91 Reclama!ion ~; <br />Total: $350.00 (Due on your Anniversary Date) <br />Please return this Annual Report form with your completed Map** and a <br />check or money order for annual fees due, payable to the Mined Land <br />Reclamation Division, 1313 Sherman Street, Room 215, Denver, Colorado <br />1. Has your mine been granted TEMPORARY CESSATION STATUS? <br />Does your mine have INTERMITTENT USE STATUS during the year? <br />2. * Total acres affected during the report year: <br />3. * Total acres reclaimed for the report year: <br />4. * Total acres in various stages of reclamation: <br />a. Backfilled: 25 d. <br />b. Graded: tp <br />c. Seeded: 3 <br />List species see~~eding <br />rate for report year on back <br />YES <br />YE <br />~,,cQ ~~ <br />~a <br />80203. <br />NO <br />S NO <br />1 1 0 ( see supplement) <br />0 (see supplement) <br />(SEE SUPPLEMENT ) <br />TOp5011 replaced: (see suo~lement) <br />Average topsoil thickness <br />replaced: (see supplement) <br />5. * The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year: NONE <br />6. * Estimated total acres to be affected in the next report year: 1t0 <br />* Please show the location of the acreage for items 2 - 6 on your map. The <br />map shall be to a scale of not less than 100 feet to the inch and not more <br />than 660 feet to the inch. Indicate the phases of the reclamation that <br />which have been completed, correlated with your timetable. <br />** NOTE: If there have not been any changes since the last annual report and <br />you previously submitted a map which correctly depicts the current acreage in <br />items 2 through 6, then a new map is unnecessary, However, you must state this <br />tact in your Current annual report. <br />Si gnature: ~_~;-,.~ / 4 , .~.',- -~' Date: ~) , ,-, ~~ /°} ., <br />Please type or print current contact n address, and phone number below: <br />Contact Name: ,,_ ,;~zi ~ /'l~./Z_k.„1;: ~rrPhone: (/1y) ~tj~ - r~)~',,, <br />Address: ~ ~~ •j jj n X I ~'_r ~~ / <br />L J~Ci <br />~ 1~~~ <br />~\ <br />