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otice of Intent to Continue Mining Operations <br />112c Annual Report <br />Permittee Name: Yuma County <br />Permit No: <br />Operation Name: <br />Anniversary Date: ~ <br />Total: $$88.00 ~ ~ (• (Due on your Anniversary Date) <br />1. a. Permitted acreage: ~ ~ ~ b. County where mine is located: Yuma <br />2. Has this mine been granted TEMPORARY CESSATION STATUE? YES <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: <br />c. Seeded: <br />List species seeded & seeding <br />rate for report year on back <br />Does this mine operate MORE or LESS than 180 days per year? MORE SS <br />3. Does this mine have a phased reclamation plan? 2 ES NO <br />4. Total acres affected during the report year•:* / ;S <br />7, The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report hear:' bon 8 <br />8. Estimated total acres to be affected in the next report year.' 3 .S <br />9. COMMENTS: <br />' Please show the location of the acreage for items 4 - 8 on your map'*. <br />Indicate the phases of the reclamation which have been completed, corelated 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 corectly depicts the curent acreage in items 2 through 6, <br />then a new map is unnnnecessary. However, you must state this fact above. <br />Signature: ~~y~~~~ Date: 7' ~ f - (> <br />Please type or print curent contact name, mailing address, and phone number below: <br />Contact Name: Paul Like Phone: (9701332-5718 <br />Company: Yuma County <br />Address: 1310 S. Blake St. <br />Wrav. CO 80758 <br />Federal Tax ID No. or Social Security No.: <br />