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S <br /> RECEIVEr <br /> Notice of Intent to Continue Mining Operations JUL 2 9 1991 <br /> 110(2) Annual Report <br /> Permittee Name: Western Slope Construction Co. Mined Land <br /> Reclamation Division <br /> Permit No: M-83-209 <br /> Operation Name: Benton Dawson Gravel <br /> Anniversary Date: 07/25/91 <br /> Total : $120.00 (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:* <br /> 3. Total acres reclaimed for the report year:* — <br /> 4. Total acres in various stages of reclamation:* <br /> a. Backfi1led: d. Topsoil replaced: <br /> h. Graded: — Average topsoil thickness <br /> c. Seeded: o - replaced: <br /> List species seeder seeding <br /> rate for report year on back <br /> 5. The type and approximate auantitv of fertilizers, organic material or soil <br /> conditioners used for the report year:* —o — <br /> 6. Estimated total acres to be affected in the next report year:* <br /> 7. COMMENTS: <br /> * Pleaselshow the location 6f 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 must state this <br /> fact above. ,:I <br /> r <br /> ,4Q ,41W,,�, Date: <br /> Please type or print current contact name, address, and phone number below: <br /> Contact Name: x/.' .., 5 Phone: <br /> Company: <br /> Address: <br /> Federal Tax ID No. or Social Security No. : <br />