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ermittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />2 <br />3 <br />4 <br />5 <br />6 <br /> <br /> <br />Notice of Intent to cc:ntt~tve,tlir.i`ng Operations <br />112 Annual Report <br />III IIIIII1111111111 <br />999 <br />~FC~, lir=e, <br />Colorado Sand & Gravel Company <br />M-80-110 `~~P 2 u ~,~1; <br />Henderson Dev <br />09/09/94 C:i:°s;~,r or 4,,ueracs n <br />$550.00 (Due on your Anniversary Date) ~;~.,,,y <br />Has this mine been granted TEMPORARY CESSATION STATUS? YES ~ ,____ <br />Does this mine operate MORE or LESS than 180 days per year? OR LESS <br />Does this mine have a phased reclamation plan? ES NO <br />Permitted acreage: -]~.7J~ <br />Total acres affected during the report year:* ~.~ <br />Total acres reclaimed for the report year:* 7.~ <br />Total acres in various stages of reclamation:* <br />a. Backfiiled: ¢~;.rs d. Topsoil replaced: ,~~.3 <br />b. Graded: _ 33. ?L Average topsoil thickness <br />33 -3 replaced: (o ~~ <br />c. Seeded: <br />List species seeded & seeding <br />rate for report year on back <br /> <br /> <br />7. <br />8. <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 />** NOIE: 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-anew map is unnecessary. However, you must state this fact above. <br />Signature: '~~~/J?(~t`,~j,~~~~~ Date: <br />Please type or print current contact name, mailing address, and phone number below: <br />Contact Name: Phone: (313 ) 9~r7'z-4 Z4 <br />Company: <br />Address: <br />~3oQ CP 6. 548 <br />,Q.~,-tz.~, ~~oz,7~ <br />Federal Tax ID No. or Social Security No.: t74 - D 4d 4~4 d <br />,~a <br />The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* /lG~rr 2l~lC o>!. <br />Estimated total acres to be affected in the next report year:*~ <br />