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. <br />~ Illllllllllllllllll ~ RF~~t~ED <br />~.. <br />Notice of Inten< <~ 999.. fining Operations <br />110(2) Annual Report F~814 1994 <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />Fremont County <br />M-86-O10 <br />Cottonwood Pit* <br />01/20/94 <br />t'i;•i.icn~ct^4~i-ner~ai::~c Gecion~• <br />F)e~5'a. <br />$225.00 (Due on your Anniversary Date) <br />1. Has this mine been granted TEMPORARY CESSATION STATUS? <br />Does this mine operate MORE or LESS than 180 days per year? <br />2a. financial Warranty: S /v A _ 2b. Permitted acreage: <br />3. Does this mine have a phased reclamation plan? <br />4. Total acres affected during the report year:* <br />5. Total acres reclaimed for th e report year:* <br />YES NO <br />`~_ <br />MORE LESS <br />9, 4~ <br />YES NO <br />/. O <br />D <br />6. Total acres in various stages of reclamation;* <br />a. Backfilled: O d. Topsoil replaced: 4 <br />b. Graded: o Average topsoil thickness <br />c. Seeded: O replaced: ~/ A <br />List species seeded & seeding <br />rate for report year on back <br />7 <br />S <br />9. <br />* Please show 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. <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, then a new map is unnecessary. However, this must be stated above. <br />signature: ////~~~. Date: / /S'9'`~ <br />Please type or print current contact name, mj ing address, and phone number belo <br />Contact Name: <br />Company: <br />Address: <br />Phone: (919 > 2'1S-7S/O <br />~~NON~'!', ~CO.PACL'~ biz/~ <br />Federal Tax ID No. or Social Security No.: ~~r7ER~/.~ 8~-GOOD%6S <br />S~~'" 98-o¢-99G <br />\~~ <br />V \~ <br />The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* N/A <br />Estimated total acres to be affected in the next report year:* ~ b <br />