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• ~ • ~ I'll III'II'I"'~'III <br />Permittee Name: <br />Permi t No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />Notice of Intent to Continue Mining Operations <br />112 Annual Report <br />Mountain Aggregates Const Co. <br />M-17-534 <br />Empire Pit <br />01/30/91 <br />E350.00 (Due on your Anniversary Date) <br />Please return this Mnual Report form with your completed Map** and a <br />check or money order for annual fees due, payable to the Mined Land <br />Reclamation Division. 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />1. Has your mine been granted TEMPORARY CESSATION STATUS? YES NO <br />Does your mine have INTERMITTENT USE STATUS during the year? YES NO <br />2. * Total acres affected during the report year: 3 acres <br />3. * Total acres reclaimed for the report year: <br />4, * Total acres in various stages of reclamation: <br />a. Backfilled: .5 acres d, <br />b. Graded: N/A ... . <br />c. Seeded: N/A <br />list species see~~?i seeding <br />rate for report year on back <br />JAN 1. 7 1g4~ <br />Mined Lind <br />Reclamation G;~;;~ion <br />RECEIVED <br />JAN 1 5 1991 <br />.5 acres <br />Topsoil replaced: N/A . <br />Average topsoil thickness <br />replaced: N/A <br />5. * The type and approximate quantity of fertilizers. organic material or soil <br />conditioners used for the report year: N/A <br />6. * Estimated total acres to be affected in the next report year: 3 acres <br />* Please show the location of the acreage for items 2 - 6 on your map. The <br />map shall be to a scale of not less than 100 feet to the inch and not more <br />than 660 feet to the inch. Indicate the phases of the reclamation that <br />' which have been completed, correlated with your timetable. <br />** NOTE: If there have not been any changes since the last annual report and <br />you previously submitted a ~p 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 in your current annual report. <br />Signature: ~ Date: / <br />Please type or print current conta name, address, and phone number below: <br />Contact Name: LeRoy Marquez phone: ( 303 ) 688-4890 ,// <br />Address• Mountain ggrega es o Co. <br />• P. 0. Box 5 5 <br />Castle Rock, CO 80104 ~~ <br />.~ ~~1 <br />`\~ <br />