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r <br /> Notice of Intent to Continue Mining Operations ' <br /> 112c Construction Materials Annual Report <br /> Permittee Name: Valco Gunnison Concrete Division <br /> Permit No. : M-81-014 L <br /> operation Name: Rozman Pity !!� <br /> Anniversary Date: June 29, otC C <br /> Total: , $550.00 (Due on your Anniversary Date) <br /> 1. a. Permitted acreage: b. County where mine is located: <br /> 2. Has this mine been granted TEMPORARY CESSATION STATUS? YES NOS <br /> Does this mine operate MORE or LESS than 180 days per year? KYESNO <br /> 3. Does this mine have a phased reclamation plan?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: LL <br /> a. Average thickness of topsoil replaced: _ <br /> =: 7. :` Total number of acres seeded: ,_ <br /> i'�•- "i{�r:.�3� a. . List species seeded 6 seeding rate for report year on back <br /> For non-phased operations provide dates extraction ceased: <br /> a. Date reclamation began: ' <br /> I <br /> .9. The type and approximate quantity of fertilizers, organic material or soil <br /> •• - .conditioners used for the report year:- 4 r <br /> 10. Estimated total acres to be affected in the next report ear:* <br /> 11. COMMENTS: W \� �S'C A tX 'fY1\r \.n C► Y+ 'fa S 'JLAL 4 <br /> - <br /> Please show the 1 cation of the acreage for items 4 - 6 on your map** . Indicate <br /> the phases of the reclamation which have been completed, correlated with your timetable. <br /> For phased operations show dates extraction ceased and dates reclamation began. 14 <br /> •• NoTx: 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 through <br /> 6, then a new map is unnecessary. However, this must be stated above. <br /> Signacuze: �.\� ,�� � Dace: 1b <br /> Please type or print current contact name, mailing address, and phone number below: <br /> Contact Name: Phone: pq lD V \ <br /> \ FAX NO: 10 — O <br /> . .Company: <br /> Address: '9 1� <br /> \'1Li tip_\ray� .� �\ R1•;1� — . <br /> Federal Tax ID No. or Social Security No. : <br /> i <br />