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iii iiiiiiiiiiiu iii • <br />Notice of Intent to Continue Mining Operations <br />112 Annual Report ~E <br />Permittee Name: Kiowa County C~1~ED <br />Permit No: M-85-173 SAN 2 <br />Operation Name: Rother Gravel Pit* p.V ~ 1995 <br />Anniversary Date: 02/03/95 ~S~O"o1Minera~g ogy <br />Total: $550.00 (Due on your Anniversary Date) ~ Geol <br />1. a. Permitted acreage: ~/3 b. County where mine is located: 1;n n~ <br />2. 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 />3. Does this mine have a phased reclamation plan? YES NO <br />4: Total acres affected during the report year:* i <br />5. Total acres reclaimed for the report year:* O <br />6. 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 />7. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* <br />8. Estimated total acres to be affected in the next report year:* a <br />9. COMMENTS: <br />* Please show the location of <br />Indicate the phases of the reclai <br />your Ttimetable. <br />** NQIE: If there have not been <br />previously submitted a map which <br />through 6, then a new ma i unn~ <br />Signature` <br />the acreage for items <br />nation which have been <br />any changes since the <br />correctly depicts the <br />~cessary. However, yo <br />Date: <br />4 - 6 on your map**. <br />completed, correlated with <br />last annual report and you <br />current acreage in items 2 <br />~ must state this fact above <br />1a- 9-9~ <br />Please type or print current contact name, mailing address, and phone number below:j. ii <br />Contact Name: / ID <br />Company: P.O. Box 591 <br />Address : Eads, Colorado 81036 <br />Phone: (719 ) L}~j`C3-Jr~ <br />n~0~~ <br />J Vv <br />Federal Tax ID No. or Social Security No.: YJ4-[DLYY)-115 \(] <br />`~,, <br />