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r' III III III III IIII III <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br /> <br />I~ <br />Notice of Intent to Continua Ptlning Operations ~~(;FI\/F~~~' <br />110(2) Annual Report <br />OCT 16 ~gg5 <br />Fremont County * <br />M-89-084 <br />Oak Creek Gravel Pi t Division of Minerals & Geo~cyy <br />01/20/95 <br />$225.00 (Due on your Anniversary Date) <br />1. a. Permitted acreage: 9. 2 b. County where mine is located: <br />2. Has this mine been granted TEMPORARY CESSATION~STATUS? YES <br />Does this mine operate MORE or LESS than 180 days per year? MORE <br />Do you extract MORE or LESS than 70,000 tons of mineral or <br />overburden a year? MORE <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 the report year:* <br />6. Total acres in various stages of reclamation:* <br />O <br />a. Backfilled: © d. Topsoil replaced: O <br />b. Graded: 0 Average topsoil thickness <br />c. Seeded: p replaced: ~_ <br />List species seeded & seeding <br />rate for report year on back <br />7. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* N~q <br />8. Estimated total acres to be affected in the next report year:* O.y^ <br />9. COMMENTS: /I/o ACT/V/Ty - /ILd /j'j/1P <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: ~i%A',~af~~,~~a'GTIw Date: /D-/Z^ 9S <br />Please type or prin~~,,t// current contact name, mailing address, and phone number belo~ <br />Contact .Name: ~r/~y,PS!/,4LG gdTGE2 ~ Phone: ( 7/9 > 275-'JS/D <br />Company: F,P6~YlOk7 ~O!/.VTr! <br />Address : TJEP?, a f ~LwN.+<//~/Ly+~/if/6 <br />6/S/Ylg~o~vAr6 -~aM -4 <br />CANON G~/~1~ ~~~QO ~/L/Z <br />Federal -fax ID No. or Social Security No.: #8~'1000Oy`g <br />YES <br />F,PE,KONT <br />NO <br />ESS <br />LESS <br />NO <br />O <br />