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III IIIIIIIIIIilllll i <br />999 <br />Notice of Intent to Continue Min_iny Operations <br />112 Annual Report <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />1 <br />2 <br />3 <br />4 <br />5 <br />6 <br />7 <br />8. Estimated total acres to be affected in the next report year:* Approx 5.3 ac. <br />9. COMMENTS: <br />* Please show the location of the acreage for items 4 - 6 on your map**. <br />Indicate the phases of the reclamation which have been completed, correlated with <br />your timetable. <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 map is unnecessary. However, you must state this fact above. <br />Signature: <br />Date: <br />Please type or print current contact name, mailing address, and phone number below: <br />Contact Name <br />Company: <br />Address: <br />Williams Fork Company <br />M-84-168 <br />Williams Fork Pit* <br />10/25/96 <br />RECEIVED <br />OCT 2 5 1996 <br />Division of hNnera~a a iieoiagy <br />8550.00 (Due on your Anniversary Date> <br />a. Permitted acreage: s9.3 b. County where mine is located: Moffat <br />Has this mine been granted TEMPORARY CESSATION STATUS? ~ NO <br />Does this mine operate MORE or LESS than 180 days per year? ~f6RF LESS <br />Does this mine have a phased reclamation plan? -KE'r NO <br />Total acres affected during the report year:* z.9 <br />Total acres reclaimed for the report year:* o <br />Total acres in various stages of reclamation:* <br />a. Backfilled: o.e d. Topsoil replaced: o <br />b. Graded: o.e Average topsoil thickness <br />c. Seeded: 1.94 replaced: N/A <br />List species seeded & seeding <br />rate for report year on back <br />The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* crone <br />Forrest V. Luke <br />Williams Fork Company <br />P.O. Box 187 <br />Craig CO 81626 <br /> <br /> <br />Federal Tax ID No. or Social Security No.: <br />