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-III IIIIIIIIIIIII III • ~ ~ ~ ~ ~ ~ -~~ <br />' I sss , <br />- Notice of Intent to Continue Mining Operations SEP 1 9 1991 <br />112 Annual Report <br />,~li'13G Land <br />Permittee Name: Cheyenne County ;~aclamatior, Division <br />Permit No: M-83-106 n <br />Operation Name: Pit No 2 K~-~' <br />Anniversary Date: 09/22/91 ~ ~ 7/ s <br />Total: b430.00 (Due on your Anniversary Date) <br />1. Has your mine been granted TEMPORARY CESSATION STATUS? YES <br />Does your mine operate MORE or LESS than 180 days per year? MORE ESS <br />2. Total acres affected during the report year:* <br />3. Total acres reclaimed for the report Year:* <br />b. Graded: 0 <br />c. Seeded: n <br />List species seeded & seeding <br />rate for report year on back <br />4 <br />0 <br />4. Total acres in various stapes of reclamation:* <br />a. Backfilled: 0 d. Topsoil replaced: 0 <br />Average topsoil thickness <br />replaced: n <br />5. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* O <br />6, Estimated total acres to he affected in the next report vear:* <br />7. COMMENTS: <br />* Please show the location of the acreage for items 2 - 6 on your map**. <br />Indicate the phases of the reclamation which have been completed, correlated <br />with your timetable. <br />NOTE: If there have not been any changes since the last annual report and <br />you previously submitted a map which correctly depicts the current ac reage in <br />items 2 through 6, then a new map is unnecessary. However, you must state this <br />fact above. <br />Signature: 1y~~L/,(L,~ ._,~~~„ _,~,e~' Date: Q-/~~~1 <br />- r <br />Please type or print current contact name, address, and phone number below: <br />Contact Name: ~ <br />Clarence Holthus hone: ( 719-) 767-5872 <br />Compdny: Cheyenne County <br />Address: p.0. Box 67 <br />Cheyenne Wells. CO 80810 ~~ ~~ <br />Federal Tax ID No. or Social Security No.: 84-600.Q750 (~~~ <br />