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;, ~ . • RECEIVE <br />Notice of Intent to Continue Mining Operations <br />110(2) Annual Report <br />. aPR 9199? <br />Permittee Name: Benn Jensen <br />Permit No: M-91y009 RP,,~a ~aedCand <br />Operation Name: White River S & G nn n:,.,,; <br />Anniversary Date: 04/17/92 <br />Total: $120.00 (Due on your Anniversary Date) <br />1. Has your mine been granted TEMPORARY CESSATION STATUS? YES NO <br />Does your mine operate MORE or LESS than 180 days per year? MORE _ES ~~~ <br />2. Total acres affected during the report year:* (C. 7 <br />3. Total acres reclaimed for the report year:* fJ <br />4. Total acres in various stages of reclamation:* <br />a. Backfilled: - ~O -~ d. Topsoil replaced: - O - <br />b. Graded: - O Average topsoil thickness <br />c. Seeded: - p - replaced: <br />List species seeded & seeding <br />rate for report year on back <br />5. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* ~ - <br />6. Estimated total acres to be affected in the next report year:* a~ ~c~'~'"'~ <br />7. COMMENTS: ~Gi.1) u.~w,o ~~~-L~,,.~-(.(.t~C, CJ/ <br />(i'.C~t.-loo ~,-s~,~C~e ~( <br />* Please show the location of the acreage for items 2 - 6 on your map**. Indicate <br />the phases of the reclamation which have been completed, correlated with your <br />timetable. <br />NOTE: If there have not been any changes since the last annual report and you <br />previously submitted a map which correctly depicts the current acreage in items 2 <br />through 6, then a ne is unnecessary. However, you must state this fact above. <br />Signature: Date: ~~~ ~ ~ - 9,2 <br />Please type or print cu nt contactTTname, mailing addre s, and phone number below: <br />Contact Name: f'Y1 O'L Q.rc~ Je1l),Se ~ Phone: (303) g'j$~,~/~~/1•~ <br />Company: ~' w ~ 87d'~b30 wK., <br />Address: '~ ~a <br />e '~ <br />R`` <br />a <br />Federal Tax ID No. or Social Security No.: " <br />1 <br />