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99 <br />Notice of Intent to Continue Mining Operations <br />110(2) Annual Report <br />Pe+urittee Name: <br />Permit No: <br />Gperatiun i•lan~e: <br />Anniversary Date <br />Total: <br />61ine+.rl Cuur+ty <br />M-84-097 <br />US Fore~~l Servi~.c` <br />06/28/95 <br />®ENVER <br />OFFICE <br />RFr,EivED ,~ <br />JUN ~ ~ 1996 5 z v 4G <br />K.N- <br />Division of Mmura~s ~. ~;uwoyy <br />$225.00 (Due on your Anniversary Date) <br /> h~~ ~` <br />~ <br />I. b. County where mine is lo <br />a. Permitted acreage: - cated: <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? ES NO <br /> Does this mine operate MORE or LESS than 180 days per year'? MORE LES ' <br /> Do you extract MORE or LESS than 70,000 tons of mineral or <br /> overburden a year? MORE Q <br />3. Does this mine have a phased reclamation plan? ES NO <br />4. Total acres affected during-the r=epor-t`year:* <br />5. Total acres reclaimed for' the report year:* <br />6. Total acres in various stages of reclamation:* <br /> a. Backfilled: d. Topsoil replaced : <br /> b. Graded: Average topsoil thickness <br /> replaced: <br /> c. Seeded: <br /> List species seeded 8 seeding <br /> rate for report year on back <br />7. The type and approximate quantity of fertilizers, organic ma terial or soil <br /> conditioners used for the report year:* <br />8 <br />9 <br />K, <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 baen any chanyas since the last ann!ial rep:~~[ ,nJ yo~.+ <br />previously submitted a map which correctly depicts the current au eaye in items 2 <br />through 6, then a new map is unnecessary. However', this must be stated above. <br />Signature: / "lAfLlz ~ C__A~Ybs~ Date: 6/6/~~ <br />Please type or print current contact name, mailing address, 'and phone number below <br />Contact Name: ~,1Rk ~7utl~ <br />Company: /`'~,~~.~ ~'"`"'~ <br />Address: ~fo ~.x7° <br />Cn~c c~ ~~~ s~ <br />Phone: l 7(9 > e5~-a3Co- <br />Federal Tax ID No. or ;~`rial Security No.: ~~ /0~= p'/~6~~o7Pr~ <br />Tax rD ~ = 9~-5367 <br />J' r7t~~ <br />~\ <br />Estimated total acres to be affected in the next report year:* O <br />