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Notice of Intent to Continue Mining Operations <br /> 110(2) Annual Report <br /> Permittee Name: Fremont County <br /> Permit No: M-78-096 <br /> Operation Name: Coaldale Gravel Pit* <br /> Anniversary Date: 01/20/93 <br /> Total : $175.00 (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 /> 2a. Financial Warranty: $ .V/A 2b. Permitted acreage: .764 <br /> 3. Do you have a phased reclamation plan? YES <br /> 4. Total acres affected during the report year:* 2 <br /> 5. Total acres reclaimed for the report year:* 2 <br /> 6. Total acres in various stages of reclamation:* <br /> a. Backfilled: a d. Topsoil replaced: O <br /> b. Graded: Z Average topsoil thickness <br /> c. Seeded: o <br /> replaced: s/a <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:* —T <br /> 8. Estimated total acres to be affected in the next report year:* /. <br /> 9. COMMENTS: IA4,,eRA4ATloV /�s a �iiiss�irtxSPi� Eorr�ufL�uvrrilSaoo u/.�isrze� <br /> 3. 'I.vmo >o <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 end you <br /> previously submitted a map which correctly depicts the current acreage in items 2 <br /> through 6, then as new map is unnecessary. However, you must state this fact above. <br /> Signature: _7// �Gy Date: rsA'5 <br /> Please type or print current contact name, mailing address, and phcne number below: <br /> Contact Name: Phone: ( '//`j ) 275'- 3io <br /> Company: AZAfcwT10,141rzf <br /> Address: �f�R¢Y.�2�iVr ��6ft' Cvyias ��oV/N6 <br /> Tlr/5'/�A�o.�/ iESCirG-Ficw[l3' <br /> P��nroa�r�/� �L6,rraao $rtzi� <br /> Federal Tax ID No. or Social Security No. : <br />