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<br />r • III IIIIIIIIIIIII III • <br />999 RrrCE~~~ED <br />Notice of Intent to Continue Mining OdePe Eions <br />112 Annual Report ~ggl <br />- ~ l.; <br />Permittee Name: Western Mobile Northern Inc <br />Permit No: M-81-276 NA~ned ~.ana <br />Operation Name: Hertzoq Pit Reclamatior~Qivisipn <br />Anniversary Date: 07/22/91 <br />Total: .1;430.00 (Due on your Anniversary Date) <br />1. Has .your mine been granted TEMPORARY CESSATION STATUS? YES NO <br />Does your mine operate MORE or LESS than 180 days per year? MORE LESS <br />2. Total acres affected during the report .year:* None <br />3. Total acres reclaimed for the report .year:* Nnno <br />4. Total acres in various stages of reclamation:* No change from 1990 <br />a. Backfilled: d. Topsoil replaced: <br />b. Graded: Average topsoil thickness <br />replaced: <br />c. Seeded: <br />List species seeded & seeding <br />rate for report year on back <br />5. The type and approximate au antit.y of fertilizers, organic material or soil <br />conditioners used for the report year:* None <br />6. Estimated total acres to be affected in the next report year:* <br />7. COMMENTS: This pit has been assigned to Wes Hertzoq Trucking and <br />c_n_ chnuld he finalised in .luly 1991_ <br />* Please show the location of the acreage for items 2 - 6 on .your map**. <br />Indicate the phases of the reclamation which have been completed, correlated <br />with .your timetable. <br />NOTE: If there have not been any changes since the last annual report and <br />you previously submitted a map which correctly depicts the current ,acreage in <br />items 2 through 6, then a new map is unnecessary. However, you mus•C state this <br />fact above. <br />Signature: ; ~,.,,Y~ ~- ~~ Date: ~ ,2 <br />Please type or print current contact name, address, and phone number below: <br />Contact Name: navid P_ Edel Phone: ( 303) 4'?6 - 1166 <br />Compdn,y: Western Mobile Northern_ Tnc, <br />Address: _p_n_ RnY ~l~nnl ~ <br />Denver. CO 80 1 J ~ ` 1,`7 la l ~y~l <br />I ~~ <br />Federal Tax ID No. or Social Security No.: <br />