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Notice of Intent to Continue Mining Operations <br /> 110(2) Annual Report <br /> • Permittee Name: Fremont County <br /> Permit No: M-78-096 <br /> Operation Name: Coaldale Gravel Pit <br /> Anniversary Date: 01 /20/92 <br /> Total : $120.00 (Due on your Anniversary Date) <br /> 1 . Has your mine .heeh granted TEMPORARY CESSATION STATUS? YES NO <br /> Does your mine operate MORE. or LESS than 180 days per year? MORE LESS <br /> 2. Total acres affected during the report year:* T_ <br /> 3. Total acres reclaimed for the report year:* <br /> 4. 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 /> S. 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:* 3 -5 <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. vj-e, wsj Dw� ��� �� ar` a ^ Gil(` Al <br /> a istwAtd <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: Date: <br /> Please type or print current contact name, address, and phone number below: <br /> Contact Name: 04gt4" 4-rL ad Phone: (717 ) VIZ- 112341 <br /> Company: Fw... .n-f eFu„7�/ <br /> Address: 52)( 20 <br /> Federal Tax ID No. or Social Security No. : <br />