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~~F~~;~~ ~ ,,~ IIIIIIIIIIIIIIIIIII • Notice of Intent to Continue Mining Operations 112 Annual Report Permittee Name: Moffat County ~~CEIVE~ Permit No: M-78-007 Operation Name: Big Burn Pit No 17 FEB ~ 3 Anniversary Date: 02/23/95 1995 Total: $550.00 (Due on your AnniversaDiyl~t~) ~w~ne1a~s a ~ 1. a. Permitted acreage: ~~ l=t~t< b. County where mine is located: -.ll~}QF~~-r 2. Has this mine been granted TEMPORARY CESSATION STATUS? YES NO Does this mine operate MORE or LESS than 180 days per year? MOR LESS ~- 3. Does this mine have a phased reclamation plan? YES IO 4. Total acres affected during the report year:* - o - 5. Total acres reclaimed for the report year:* - ~ - 6. Total acres in various stages of reclamation:* a. Backfilled: - o - d. Topsoil replaced: - o - b. Graded: - o - Average topsoil thickness c. Seeded: - o - replaced: ~A~ List species seeded & seeding rate for report year on back 7. The type and approximate quantity of fertilizers, organic material or soil conditioners used for the report year:* N/~- 8. Estimated total acres to be affected in the next report year:* - O - 9. COMMENTS: JInC1~~iL~, '2c~,..r +L"Ti~~7 ~~L..r A-1O M~4-(o '2~ca,~~ n~,l~ * 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. ** NOTE: 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 new m is nn cessary. However, you must state this fact above. Signature: ~~ Date: i 5 Please type or print c rent c tact name, mailin ddress, and phone number below:/ Contact Name: ~ 1.~~22~r.J 7. ~opE2 Phone: ('~03) 82-c,L-~2I / Company: M~F~r Co~,.~'rH 2or->rD ~. Address: f`~D• Pao>C LG-~ t_.(G4.rGr ~. ~1(o2L / - V~~~ Federal Tax ID No. or Social Security No.: g~f-laoc~p -7£;~ ~'L