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h <br />Np ~C~~~~G <br />No 110c Constru tion Materials Annual pRenor ~/n/s/O//O,~y~~~iN~_ ~7 ~~ <br />~i~ <br />Operation Name: Mountain Shadows Pit 4OEU/~9J~ <br />Anniversary Date: December 20, 1996 <br />Annual Fees for the Year(s): 1995 - 1996 <br />Total: $225.00 (Due on your Anniversary Date) <br />1. ~ a. Permitted acreage: 9.9 b. County where mine is located: ~_ <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? YES NO <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:* L.., Jr.„ Yz a~.c <br />5. Total acres reclaimed for the report year:* O <br />6. Total number of acres in topsoil replacement stage: __ Nfi4 __._ <br />a. Average thickness of topsoil replaced: N/d <br />7. Total number of acres seeded: NIA <br />a. List species seeded & seeding rate for report year on back <br />8. For non-phased operations provide dates extraction ceased: N(N <br />a. Date reclamation began: Nlil <br />9. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* N>w. <br />10. Estimated total acres to be affected in the next report year:* <br />11. 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. For phased operations show dates extraction ceased and dates <br />reclamation began. <br />** NOTB: 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, th/nen/ a new-gym/ap is unnecessary. However, this must be stated above. <br />Signature: l,[U,~. ~I #a~; Mana4e,- Date: lI-l.~-yG, <br />Please type or print current contact name, mailing address, and phone number below <br />Contact Name: CALVIrf A. NAMLER~ MANgEEr2 Phone: ( 7I9) 61G-33Y6 <br />I pp JJ I~ II FAX NO: ( 7(Q ) 676-3/71. <br />Company: CD/OYd dJ l~~v MG1Yo(b~~73n D~S~ricT <br />Address: 54V5 CYernoVerde Bled. <br />~olorar~o Cify . CO 81019-9 3 9 0 <br />Federal Tax ID No. or Social Security No.: 8`1-056 4~s1 <br />