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• • _ . • • RECEIVED <br /> Notice of Intent to Continue Mining Operations <br /> 110(2) Annual ReportDIVISION UF <br /> �UL2219 <br /> Permittee Name: Western Slope Construction Co. MINERALS & GEOLOGY <br /> Permit No: M-83-209 <br /> Operation Name: Benton Dawson Gravel <br /> Anniversary Date: 07/25/92 <br /> Total : $175.00 (Due on your Anniversary Date) / <br /> 1 . Has your mine been granted TEMPORARY CESSATION STATUS? YES 4I <br /> Does your mine operate MORE or LESS than 180 days per year? MORE LESS <br /> 2a. Financial Warranty: $,� � 2b. Permitted acreage : 4 <br /> 3. Do you have a phased reclamation plan? YE NO <br /> - 4. Total acres -affected-during—the report year.* <br /> 5. Total acres reclaimed for the report year:* d <br /> 6. Total acres in various stages of reclamation:* <br /> a. Backfilled: d. Topsoil replaced: <br /> b. Graded: d�eczc/" Average topsoil thickness <br /> c . Seeded: replaced: <br /> List species seeded & seeding <br /> rate for report year on back <br /> 7. The type and approximate quantity f fertiliprs , organic material or soil <br /> conditioners used for the report year:* 40�.Iez?i <br /> 8. Estimated total acres <br /> to be affected in the next report year: *Ze, <br /> 9. COMMENTS: / i���S' <br /> — <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 , you must state this fact above . <br /> Signature: / � Date : <br /> Please type or print current contact name , mailing address , and phone number below: j <br /> Contact Name: � rJ17�t'i/�l8 / Phone : (3a3 <br /> Company: lj( 'G1e� �nc1s�P® <br /> Address : <br /> Federal Tax ID No. or Social Security No. : e1A <br />