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iii iiiiiiiiiiiu iii • <br />999 <br />Notice of Intent to Continue Mining Operations JAN 0 g ~ggp <br />112 Annual Report M~~ed land <br />~p..l,~ <br />Permittee Name: Western Mobile Northern Inc ~~~~~~'~~ <br />Permit No: M-79-191 <br />Operation Name: Three Bells Pit* <br />Anniversary Date: 01/31/92 <br />Total: $430.00 (Due on your Anniversary Date) <br />1. Has your mine been granted TEMPORARY CESSATION STATUS? YES NO <br />Does your mine operate MORE or LESS than 180 days per year? MORE LESS <br />2. Total acres affected during the report year:* <br />3. Total acres reclaimed for the report year:* <br />4. Total acres in various stages of reclamation:* <br />a. Backfilled: d. Topsoil replaced: <br />b. Graded: Average topsoil thickness <br />c. Seeded: replaced: <br />List species seeded & seeding <br />rate for report year on back <br />5. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:' <br />6. Estimated total acres to be affected in the next report year:* <br />7. COMMENTS: NO CHANGES SINCE LAST REPORT. _ <br /> <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 acreage in <br />items 2 through 6, then a new map is unnecessary. However, you must state this <br />fact above. <br />Signature: ~i~~ ~ ~1~ .- Date: / " f' ~/ ~ <br />Please type or print current contact name, address, and phone number belo~•~: / <br />~~'\ <br />Federal Tax ID No. or Social Security No.: \ <br />Contact Name: MICHAEL D. SHEAHAN Pho (303 ) 482-7854 <br />Company: WESTERN MOBILE NORTHERN. INC. <br />Address: P.O. sox 2187 ~ ~r~/ <br />FORT COLLINS. CO 80522 'E <br />