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• ~II ~I~II~~I~~I~~II~ • RFCE11/Ep 999 JUN 2 8 199 Notice of Intent to Continue Mining Operations 3 110(2) Annual Report Division of ,tii„ ie,d~~ Permittee Name: James VanElla ~ ~eutc~uy Permit No: M-92-045 ~'~ Operation Name: Gold Basin Mine ~,. ~ ~`~' ~- Anniversary Date: 07/21/93 O Total: $225.00 (Due on your Anniversary Date) 1. Has this mine been granted TEMPORARY CESSATION STATUS? YES NO Does this mine operate MORE or LESS than 180 days per year? MORE ESS 2a. Financial Warranty: $ O. ~~~ 2b. Permitted acreage: 3 /~r . 3. Does this mine have a phased reclamation plan? YES NO 4. Total acres affected during the report year:* ,+L~n~~;~-_ 5. Total acres reclaimed for the report year:* lI~~AJE 6. Total acres in various stages of reclamation:* a. Backfilled: d. Topsoil replaced: b. Graded: Average topsoil thickness c. Seeded: replaced: List species seeded & seeding rate for report year on back 7. The type and approximate quantity of fertilizers, organic material or soil c nditioners used for the re,ppor~t year:* 8. Es imated total act'es to be affected in the e t repor year:* 9. * Please show the location of the acreage for items 4 - 6 on your map**. Indicate the phases of the reclamation which have been completed, correlated with your timetable. T *• I If there have not been any changes since the last annual report and you previously submitted a map which correctly depicts the current acreage in items 2 through 6, then a new map is unnecessary. However, this must be stated above. Signature: j/~~~Ql1s Date: ~-',~/- ~•3 Please type or print current contact name, mailing dress, and phone number betow:~ Contact Name: cTP,IYIFS /A/~E,/~ ••/ Phone: (7/9 ),3yS-~7y5 Company: Address: i3vx ~,2~ / G~~ry~7E Co~oR~l-yo ~1.22~ Federal Tax ID No. or Social Security No.: ~e~,,,~ ~c~. ./" ~~~~a