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' <br />~~ <br /> ~ III IIIIIIIIIIIIII II <br />~ <br />( <br />, <br />~ <br /> ~~ <br />~~ <br />, `L <br /> Notice Intent to pe <br />ons <br /> 112c Construction Materials Annual Report rfB ~ ~ ,~~7 <br />Permittee Name: Mobile Premix Inc <br />Permit No: M-79-004 <br />Urvr.~~~n u~ ,.~ ~ .. ~- <br />'- `''"""'~" <br />0 eration Name: <br />p S ecification A <br />p ggregates Quarry <br />Anniversary Date: February 15, 1997 <br />Total: $ 550.00 (Due on your Anniversary Date) <br />1. a. Permitted acreage: 222,7 b. County where mine is located: ,fefferson <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? No <br /> Does this mine operate MORE or LESS than 180 days per year? More <br />3. Does this mine have a phased reclamation plan? Yes <br />9. Total acres affected during the report year:* +\.101 <br />5. Total acres reclaimed for the report year:* +\-32 <br />6. Total number of acres in topsoil replacement stage: 0 <br /> a. Average thickness of topsoil replaced 0 <br />7. Total number of acres seeded: 0 <br /> a. List species seeded & seeding rate for report year on back <br />8. For non'phased operations provide dates extraction ceased: ~~, <br /> a. Date reclamation began: NP, <br />9. The type and approximate quantity of fertilizers, organic material or soil <br /> conditioners used for the report year:* see attached <br />10. Estimated total acres to be affected in the next report year:* +~ 101 <br />11 . COMMENTS : Affected aCfeS IDCIUdeS +\- 43 aCfeS O( Dlenl Brea. <br /> <br /> <br />* Please show the location of the acreage for items 9-6 on your map**. <br />Indicate the phases of the reclamation which have been completed, correlated with <br />your timetable. For phased operations show dates extraction ceased and dates <br />reclamation began. <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 ~ p is unnec~sary. However, this must be stated a:DOVe. <br />Signature: ~ ~ ' ,[~/Lb~.L~d~ Date: 2/28/97 <br />Please type gar print current contact name, mailing address, and phone number below: <br />Contact Name: Julie Goettemoeller <br />Phone: X3031657-4331 <br />FAx No: (303) 857-4339 <br />company: Mobile Premix Inc <br />Address: 1590 W 12th Ave <br />Denver. CO 80204 <br />Federal Tax ID No. or Social Security No.: <br />