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<br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />Notice of Inten< <„ ,.,,,999..,,_ .... ,ng Operations <br />110(2) Annual Report <br />Fremont County * <br />M-89-084 <br />Oak Creek Gravel Pit <br />01/20/96 <br />~~/Jt #/739 <br />$225.00 (Due on your Anniversary Date) <br />QC~ <br />~"~~S'O~o, 1996 <br />Mi~~, d/S ~ GN% <br />9y <br />1. a. Permitted acreage: g 2 b. County where mine is located: Y.I~EMO.V T <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 ESS <br /> Do you extract MORE or LESS than 70,000 tons of mineral or <br /> overburden a year? MORE ES <br />3. Does this mine have a phased reclamation plan? YES N~ <br />4. Total acres affected during the report year:* O <br />5. Total acres reclaimed for the report year:* d <br />6. Total acres in various stages of reclamation:* <br /> a. B•3ckfilled: O d. Topsoil replaced: O <br /> b. Graded: p Average topsoil thickness <br /> p replaced: ~//1 <br /> c. S~aeded: <br /> List species seeded & seeding <br /> r~~te for report year on back <br />7. The type and approximate quantity of fertilizers, organic material or s oil <br /> conditioners used for the report year:* A/~A <br />8. Estimated total acres to be affected in the next report year:* LEySlNa, v O.2f <br />9. COMMI=NTS: x'/73 GD 7on/s /(/IiNGo ~•PoM 5~++.fE A,eEa ,Gs ~EPOaT6D <oe /99/~ <br /> T/f6REFoe6 Ado SAP /~,QDI'/DED <br />* Plea~~e 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 and you <br />previousl~i submitted a map which correctly depicts the current acreage in items 2 <br />through 6, t~he~n/a new/m/ap(~is uunnecessary. However, this must be stated above. <br />Signature: ///6/ ~~p:~l~~ Date: / /9-9G _ <br />Please ty{~e or print current contact name, mailing address, and phone number belo~- <br />Contact Name: /~,O~PSff4LG f~,v~r.~ / Phone: ( 779) 29S--7S/D <br />Company: F.?FiylA,4/TL~GSf/Tif <br />Address: ~6<,OrPTM6.fl1m</~GanwrvL~~aviu6 <br />Gi~ilTatoy~~~ 1~ R-S <br />CANONG~ ~oGD.eApO ~/z~ <br />Federal Ta.x ID No. or Social Security No.: #~~ /.~a7G~ _ <br />