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IZ..a. c. Ai- o q(a I <br /> • ��� ���������������� � CSC. f+6bag�c� <br /> Notice of Intent 999c rllnr ng Operations <br /> 110c Construction Materials Annual Report <br /> Permittee Name: Baca County <br /> Permit No. : M-85-100 <br /> Operation Name: Gravel Pit No 23 OCT 0 3 1997 <br /> Anniversary Date: July 25, 1997 <br /> Total: $225 . 00 (Due on your Anniversary Date) <br /> p• r/ ')'i'•I&1cj Oi <br /> 1. a. Permitted acreage: 0 .7( b. County where mine is located: DR(X <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? MOR LESS <br /> 3 . Does this mine have a phased reclamation plan? 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 topsoil replacement stage: <br /> a. Average thickness of topsoil replaced: <br /> 7 . Total number of acres seeded: <br /> a. List species seeded & seeding rate for report year on back <br /> 8. For non-phased operations provide dates extraction ceased: <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 . COMMENTS: <br /> �G,.) n 1 fJ <br /> �fyL(al �LPGlS . WL Q(L � n7 L n(n[ CSS Ot X%L,]cto <br /> 00S rc- <br /> * Please how 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. For 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, hen a new map is unnecessary. However, this must be stated <br /> ^above. <br /> Signature: Date: —L - It) - -1 <br /> Please type or print current contact (name, mailing address, and phone number below: <br /> Contact Name: lJ0lJ � . �B�T Phone: (7l 1 ) 5a3 - L53.'). <br /> FAX NO: <br /> Company: <br /> Address: <br /> N u1 n �J( <br /> Federal Tax ID No. or Social Security No. : D� - (,GOO I4 <br />