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II IIIIIIIIIIIIIIII ~ ~~ <br />CEI VCS <br />Notice of Intent to Continue Mining Operations <br />112 Annual Report bE_C 19 191 <br />Permittee Name: Centennial Materials, Inc. ~~^ M~'~ed Canq <br />Permi t No: M-76-009HR ~m~3tjn~ ,~. ; , <br />Operation Name: Menzer Quarry <br />Anniversary Date: 12/31/91 <br />Total: $430.00 (Due on your Anniversary Date) <br />2 <br />3 <br />Has your mine been granted TEMPORARY CESSATION STATUS? YES NO <br />Does your mine operate MORE or LESS than 1B0 days per year? '~~ LESS <br />Total acres affected during the report year:* <br />Total acres reclaimed for the report year:* <br />8 acre <br />-o- <br />4. Total acres in various stages of reclamation:* <br />a. Backfilled: ~ d. <br />b. Graded: <br />c. Seeded: t.s acre <br />List species seeded & seeding <br />rate for report year on back <br />Topsoil replaced: f6 <br />Average topsoil thickness <br />replaced: This wa:: aone by <br />the pre~~ious operator <br />5. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* Done by previous operator <br />6. Estimated total acres to be affected in the next report year:* _ z•e <br />7. COMMENTS: <br />* Please show the location of the acreage for items 2 - 6 on your map**. <br />Indicate the phases of the reclamation which have been completed, correlated <br />with your timetable. <br />NOTE: If there have not been any changes since the last annual report and <br />you previously submitted a map which correctly depicts the current acreage in <br />items 2 through 6, then a new map is unnecessary. However, you must state this <br />fact above. <br />Signature:~~,~=y%z~~~/,/~ Date: fZ - /~'`l/ <br />Please type or print current contact name, address, and phone number below: / <br />Contact Name: z. scott Hendricks Phone: ( 7t9 ) 392-4207 // <br />Compdny: Centennial Materials, Inc. / <br />/ <br />Address: 2635 Delta Drive J w <br /> 1 <br />~\ <br /> Colorado s prings, CO 80910 1 <br /> ;;. ~ ~D <br />Federal Tax ID No. or Soc1a' Security Nc.: .' 1~ <br />