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otice of Intent to Continue Mining Operations <br />Annual Report <br />PERMITTEE NAME: <br />PERMIT NO.: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />TOTAL: <br />RECEIVED <br />Goose Haven Sand & Gravel, Inc. <br />M-1984-099 ~~~ Q s ~3 <br />Bailey Pit <br />September 29, 2003 Oirision ~f Minerals and Geoiagy <br />$688 <br />1. a. Permitted acreage: 216.81 +/- b. County where mine is located: Weld County <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? Yes <br />Does this mine operate MORE or LESS than 180 days per year? More Less <br />3. Does this mine have a phased reclamation plan? Yes No <br />4. Total acres affected during the report year: (*) 90 <br />5. Total acres reclaimed for the report year: (*) 126 <br />6. Total acres in various stages of reclamation: (*) <br />a. Backfilled: 126 <br />b. Graded: 126 <br />c. Seeded: none <br />(list species seeded /seeding rate for report year on back) <br />d. Topsoil replaced: 76 <br />(average topsoil thickness replaced: 12" <br />7. The type and approximate quantity of fertilizers, organic material or soil conditioners <br />used for the report year: (*) cow manure <br />8. Estimated total acres to be affected in the next report year: (*) 90 ~ ~it~i.~ <br />9. COMMENTS: ----GOOSE HAVEN SAND AND GRAVEL, INC. HAS TAKEN OVER THIS <br />PERMIT FROM HALL IRWIN. .- {L~~ vin+iN:v~~ i5 vww GO,n~~ta`1C~ '~ Skgrlr~v~ <br />i~ ~ and tik.~n~i 4~+.va b,ah Coy-S'1N~rCt~. <br />(*) Please show the location of the acreage for items 4 through 6 on your map (**). Indicate the phases of the <br />reclamation that have been completed, correlated with your timetable. <br />(**) If there have not been any changes since the last annual report and you previously submitted a map that <br />correctly depicts the current acreage in items 2 through 6, then a new map is not necessary. However, you <br />must state this fact above. <br />Signature: ~~~~-rte`--- Date: August 18, 2003 <br />Please type or print current contact name, mailing address and telephone number below: <br />Contact Name: Doug Tiefel Phone: 303-665-9390 <br />Company: Goose Haven Sand & Gravel <br />Address: P.O. Box 17130, Boulder, CO 80308-0130 <br />Federal Tax ID No. or Social Security No.: 84-0912432 <br />