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<br />~~ <br />!~ <br />R <br /> , ~ <br />Notice of Intent III IIIIIIIIIIIIIIII9 Operations nr/+GI\/E® <br />llo«, ,,.,.._989 -. JAN 22 1996 <br />Permittee Name: Fremont County <br />Permi t No: M-94-092 ~r,;,;~. . _, Minerals 8 Geology <br />Operation Name: Iron Mtn Rd Grav Pit <br />Anniversary Date: 01/23/96 <br />Total: $225.00 (Due on your Anniversary Date> <br />1. a. Permitted acreage: 9.B b. County where mine is located: F~PFiN~O.(7 <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? _ YES ® <br />~ <br />Does this mine operate MORE or LESS than 180 days per year? ~ <br />MORE LESS <br />Do you extract MORE or LESS than 70,000 tons of mineral or <br />overburden a year? MORE LESS <br />3. Does this mine have a phased reclamation plan? YES NO <br />4. Total acres affected during the report year:* 2.0 <br />5. Total acres reclaimed for the report year:* o <br />6. 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: O 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:* N~A <br />8. Estimated total acres to be affected in the next report year:* /-2 <br />9. COMMENTS: 7 9Z0 Toe/ /LIiNFn <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, this must be stated above. <br />Signature: ,~~~i~,~~/_~ Date: /-/9 9G <br />Please type or pri'~n~~t current contact name, mailing address, and phone number~•low: <br />Contact Name: /i'//J.efNA/.~ ~ii//,ge / Phone: ( 7/9 > 2'75-75/6 <br />Company : L.P6/l10./T L~dvn1 <br />Address: ~JFO~vp1,Lff.All/F~~~vv„v6~Zay/~/G <br />~/S/Y/A~av !~/~yyE. ~f sm~ /,~s~ <br />(jlJNDN ~'/i1'lj ~o~o.Paas Biz/z <br />Federal Tax ID No. or Social Security No.: ~~'Y" IPODD 7G S <br />