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� � I <br /> Notice.of Intent to Continue Mining Operations <br /> 110c Construction Materials Annual Report <br /> Permittee Name: Merlin J & Shirley F Peterson <br /> Permit No. : M-95-023 <br /> Operation Name: Peterson Pit <br /> Anniversary Date:. June 08, 1997 <br /> Total: $225.00 (Due on your Anniversary Date) <br /> 1. a. Permitted acreage: q % b. County where mine is located: 1_ GVSOn <br /> 2. Has this mine been granted TEMPORARY CESSATION STATUS? YES 40 <br /> Does this mine operate MORE or LESS than 180 days per year? MORE 4j05 <br /> 3. Does this mine have a phased reclamation plan? S'ES' NO <br /> 4. Total acres affected during the report year:* (' <br /> 5. Total acres reclaimed for the report year:* <br /> 6. Total number of acres in topsoil replacement stage: <br /> a. Average thickness of topsoil replaced: <br /> 7. Total number of acres seeded: <br /> a. List species seeded & seeding rate for report year on back <br /> 8. For non-phased operations provide dates extraction ceased: <br /> a. Date reclamation began: <br /> 9 . The type and approximate quantity of fertilizers, organic material or soil <br /> conditioners used for the report year: * <br /> 10. Estimated total acres to be affected in /the next report year:* <br /> 11. COMMENTS: En ��S{p (cr_n - en ��dam.L7I y Lorl _ 04Ah <br /> VI() r'InnpP�s <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. For phased. operations show dates extraction ceased and dates <br /> reclamation began. <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 <br /> /taJted above. <br /> Signature: _ y�y� _ _ Date: 10 ',2' <br /> Please type or pr�: current contao+7.name, mailing address, and phone number below: <br /> contact Name:'(� _ (' I.�_ Phone: <br /> (,�70) 7 .3�L"�_SL- <br /> FAX N0: ( 9rld ) 17��-3aOg <br /> Company: to <br /> P.O. Box 306 <br /> Address: _ Walden, Colorado 80480 — — <br /> Phone 723-4676 <br /> 6 y; Sy-1 J COo-� <br /> Federal Tax ID' No. or' Socia -•;+'5ecurity No. : ' <br />