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.: <br />:.G-' <br />Permittee Name: <br />Permit flo: <br />Operation Name: <br />Anniversary Date <br />Total: <br />« III IIIIIIIIIIIIIIII ~RECEOVE~ <br />Notice of Intent to Continue Mining Operations qUG 1 5 1991 <br />110(2) Annual Report <br />Baca County <br />M-81-138 <br />Gravel Pit No 17 <br />07/24/91 <br />Mined Land <br />Reclamation Division <br />X120.00 (Due on Your Anniversary Date) <br />1. Has your mine been granted TEMPORARY CESSATION STATUS? <br />Does .your mine operate MORE or LESS than 180 days per 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 recla~nation:* <br />a. Backfilled: 1; d. <br />b. Graded: 1'- <br />c. Seeded: <br />List species seeded & seeding <br />rate for report year on back <br />YES /~NO% <br />/FIORI: // LESS <br />2 acres <br />1 arras <br />Topsoil replaced: -0- <br />Average topsoil thickness <br />replaced: 3" to 4" <br />5. Tlie 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:* 2 acres <br />7. COMMENTS: <br />* Please show the location of the ac reage for items 2 - 6 on your map**. <br />Indicate the phases of the reclamation which have been completed, correlated <br />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 />fact above. /~ - <br />Signature: (///~/~,^~ r~~~'~1~,~Z~~ Date: July 18, 1991 - <br />Please type or print current tact name, address, and phone number below: / <br />Contact Name: Don E. Self Phone: (7 9 ) 523-6775 // <br />Company: Baca County Commissioners <br />Address: p.0. Box 116, 741 Main Street //A~ <br />Springfield, CO 81073 ~\~V` ~\ <br />Q \ I <br />Federal Tax ID No. or Social Security No.: <br />