REP37991

• Permit No: M1983011
• IBM Index Class Name: Report
• Doc Date: 1/30/1992
• Doc Name: NOTICE OF INTENT TO CONTINUE MINING OPERATIONS 110 2 ANNUAL REPORT
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

Permittee Name:
Permit No:
Operation Name:
Anniversary Date
Total:

11~ II~~~~II~~~~~ ~1~ •
sss
Notice of Intent to Continue Mining Operations
110(2) Annual Report
Jelen & Son, Inc.
M-83-O11
Willow Creek Mine
02!23192
.,
~L"\.~C.-1 Y ~v
JAN ~ 0 1992
Mined land
R.... _ ,
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$120.00 (Due on your Anniversary Date)
1. Has your mine been granted TEMPORARY CESSATION STATUS?
Does your mine operate MORE or LESS than 180 days per year?
2. Total acres affected during the report year:*
3. Total acres reclaimed for the report year:'
4. Total acres in various stages of reclamation:`
a. Backfilled: d.
b. Graded:
c. Seeded:
List species seeded & seeding
rate for report year on back
5
6
7
YES NO
MORE LESS
Topsoil replaced:
Average topsoil thickness
replaced:
The type and approximate quantity of fertilizers, organic material or soil
conditioners used for the report year:*
Estimated total acres to he affected in the next report year:*
COMMENTS: No changes since last report. Just exploration & assessment
* Please show the location of the acreage for items 2 - 6 on your map " .
Indicate the phases of the reclamation which have been completed, correlated
with your timetable.
11~IE: If there have not been any changes since the last annual report and
you previously submitted a map which correctly depicts the current acreage in
items 2 through 6,,,~hen a new map is unnecessary. However, you must state this
fact above. / /
Signature: _ ~C7/~'~ Date: ~9~f:~-~ ,
Contact Name
Company:
Address:
Please type or print cu~'rent-contact name, address, and phone number below /
Rosemary Jelen hone: (303 )278-9901 J
Jelan Tnvectment Co
5035 McIntyre Street
Go en,
Federal Tax ID No. or Social Security No.:
3~1a~
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