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<br />r <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />2 <br />3 <br />4 <br />5 <br />6 <br />7 <br />S <br />~ • III IIIIIIIIIIIIIIII ~ <br />Notice of Intent to Continue Mining Operations <br />112 Annual Report `r RECEIVED <br />Williams Fork Company ~ 2 3 1995 <br />M-64-168 <br />Wi 1 1 i ams Fork P i t* Division of Minerals 8 Geology <br />10/25/95 <br />$550.00 (Due on your Anniversary Date) <br />a. Permitted acreage: 69,3 b. County where mine is located: Mo£fat <br />Has this mine been granted TEMPORARY CESSATION STATUS? YES NO ~ <br />Does this mine operate MORE or LESS than 180 days per year? MORE LESS <br />Does this mine have a phased reclamation plan? YES NO <br />Total acres affected during the report year:* 2.5 <br />Total acres reclaimed for the report year:* o <br />Total acres in various stages of reclamation:* <br />a. Backfilled: o•e d. Topsoil replaced: o <br />b. Graded: o.e Average topsoil thickness <br />c. Seeded: 1.94 replaced: N/A <br />List species seeded & seeding <br />rate for report year on back <br />The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* None <br />Estimated total acres to be affected in the next report year:* 71Pprox 2.o acres <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 ma is necessary. However, you must state this fact above. <br />Signature: -/~°~i~~ Date: G~/ ?~ /7%.5- <br />Please type or print current contact name, mailing address, and phone number below: <br />Contact Name: Forrest v. Luke , <br />COmpdny: Williams Fork Company <br />Address: P.o. sox ls7 <br />Craig CO 81626 <br />Phone: ( 970 ) 829-4401 <br />Federal Tax ID No. or Social SeCUrity No.: <br />