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rT <br />j <br />~ 11 '95 13a:15Fli I'I'.'~19IIIEF~gL~.?.~=E~:~U=!~~~' p ~.~ <br />t <br />~ <br />r + • <br /> IIIIIIIIIlIIIIIIIII ~~LE~V1=~ <br />: <br /> Notice of Intent to <br />>erations . <br /> 112 Annual Report <br /> r <br />QCI ~ ~ 1996 <br />Permit tee Name: Patrick Cugnini <br />Permit No: M-a6-061 <br />Operat ion Name Cugnini Gravel Pit V~R <br />Annive rsary Date: 07/21/96 (1 rv1.51011 Dl Mir>p.., ., ,~., <br />D~M <br />Total: $550.00 (Due by December I, 1996 this year only) (~~'FICE <br />1. a. Permitted acreage: .~~ b. County where mine is located: <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? YES NO <br /> Does this mine operate MORE or LESS than 1B0 days per year? MORE LESS ' <br /> <br />3. Does this mine have a phased reclamation plan? YES NO <br />4. Total acres affected during the report year:* ~~ <br />5. Total acres reclaimed for the report year:' ~~ <br />6. Total number of acres in tapeoil replacement stage: o~ <br /> a. Average thickness of tcpaoil replaced: ~i G ~~ <br />y_~ <br />J <br />7. Total number of acres seeded; f <br />1 <br />~ (" L_ <br /> a. List species seeded s seeding rate for report year on back <br />s. For non-phased operations Frovide dates extraction ceased: ~/l/ L1 <br />a. Date reclamation began: <br />9. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* <br />10. Estimated total acres to be affected in the next report year:' _~ <br />11. COh49ENTS: <br />* Please show the location of the acreage for items 4 - 6 on your map'*. <br />Indicate the phases of the reclamation which have been completed, correlated with <br />your timetable. eor phased operations show dates extraction ceased and dates <br />reclamation began. <br />+• NOTE: If there have not been any changes since the last annual report and you <br />previously submitted a map which correctly depicts the current acreage in items 2 <br />through 6, then a new map is unnecessary. However, this must be stated above.. <br />Signature:~_ ~ ~ .-,g~Date: /D~~$~9~i <br />Please type cr print current//contact name, mail/i'ng address, and phone numbeY below: <br />Contact Name: ~DN C70$~lEy Phone: (970 ) HS'{- 9533 <br />~~rr p FAR NO: ~97y ) 8s~1 - 9148 <br />company: (~OSAIEy `~ SOUS , ~I/C . <br />Rddresa: p ~ . ~DX .~7 <br />,~9yFlELD~ CO SIr22 <br />Federal Tax ID No. or Social Security No.: ~~-OgSy'F ~Q <br />