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iii iiiiiiiiiiuiii ; <br />~_ <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />Notice of Intent-to Cohtinue Mining Operations <br />112 Annual Report <br />Western Mobile Northern Inc <br />M-81-088 <br />Crater Pit <br />12!10/92 <br />SEC ~ f992 '. <br />DIViSr <br />r~INERALSd RE01.r;;: , <br />$490.00 (Due on your Anniversary Date) <br />1. Ras your mine been granted TEMPORARY CESSATION STATUS? <br />Does your mine operate MORE or LESS than 180 days per year? <br />2a. Financial Warranty: $ .5 J~ 2b. Permitted acreage <br />3. Do you have a phased reclamation plan? <br />4. Total acres affected during the report year:* <br />5. Total acres reclaimed for the report year:* <br />YES ~ / <br />0 E LESS <br />~~~~o ~ <br />YES NO <br />6. Total acres in various stages of reclamation:* <br />a. Backfilled: tl. Topsoil replaced: <br />b. Graded: Average topsoil thickness <br />c. Seeded: replaced: <br />List species seeded & seeding <br />rate for report year on back <br />7. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* A10 IE, <br />8. Estimated total acres to be affected in the next report year:* <br />9. COMMENTS: <br />* Please show the location of the acreage for items <br />Indicate the phases of the reclamation which have been <br />your timetable. <br />** NOTE: If there have not been any changes since the <br />previously submitted a map which correctly depicts the <br />through 6, then a new map is unnecessary. However, yo <br />4 - 6 on your map**. <br />completed, correlated with <br />last annual report and you <br />current acreage in items 2 <br />~ must state this fact above <br />Signature: ~,lA I,c(, -e-7}~/~(('PN Date: ~ -7-~~ <br />Please type or print current contact name, mai l address <br />Contact Name: JI,L/lam M n~A~f-~P~YIIe.~~~~Z/l/~~ Phone <br />Company: ~(~P~PrIL MD //f, /V~2~1z{-t'L <br />Address: i~0 R(IX 7J.5A~, <br />~~n Ue / CCU ~C~~Z-l <br />and phone number be <br />(303 ) '~2(o-llla~ <br />Federal lax ID No. or Social Security No.: ~'~- ~/~~~~~ <br />~~a\a~ <br />