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otice of Intent to Continue Mining Operations <br />110(2) Annual Report RF(;F~~/E~ <br />Permittedr Name: Mike Coleman and Jerry Seifert OCT 3 0 ~ggg <br />Permit No: M-91-083 <br />Operation Name : U 1 a P i t* Division of Minerals ti GeoloS, <br />Anniversary Date: 10/29/95 <br />Total: $225.00 (Due on your Anniversary Date) <br />1. a. Permitted acreage: l p b. County where mine is located: C ksf e~ <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? YES NO <br />Does this mine operate MORE or LESS than 180 days per y ear? MORE LESS ~ <br />Do you extract MORE or LESS than 70,000 tons of mineral or <br />overburden a year? MORE LESS <br />3. Does this mine have a phased reclamation plan? ES NO <br />4. Total acres affected during the report year:* 1 <br />5. Total acres reclaimed for the report year:* p <br />6. Total acres in various stages of reclamation:* <br />a. Backfilled: p d. Topsoil replaced: O <br />b. Graded: O Average topsoil thickness <br />replaced: p <br />c. Seeded: n <br />List species seeded & seeding <br />rate for report year on back <br />7. The *ype and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* >1o ne <br />8. Estinated total acres to be affected in the next report year:* ~ <br />9. COMMENTS: <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: 10/24/95 <br />Please type or print current contact name, mailing address, and phone number below: <br />ContdCt Ndme: Jerald A. Seifert ~ <br />Company: Custer County Concrete <br />Address: r.0. Box 305 <br />Westcliffe, CO 81252 <br />Phone: (719 ) 783-2757 <br />Federal Ta:< ID No. or Social Security No.: 84-1148414 <br />~~d,-' <br />1 ~~ <br />vti <br />~O <br />