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III Illllllllllll III ~ <br />Notice of Intt~~~ ~., sse nrng Operations <br />110(2) Annual Report <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />Colorado Quarries Inc <br />M-87-026 <br />Black Obsidian* <br />11/06/92 <br />R~~~(~~ <br />SEP 211992 <br />DIViSIUi~~ ~„- <br />MINERALS & UEOuj; ;~ <br />$175.00 (Due on your Anniversary Date) <br />1. Has your mine been granted TEMPORARY CESSATION STATUS' <br />Does your mine operate MORE or LESS than 180 days per year? <br />Za. Financial Idarranty: $~LL°D.ed 2b. Permitted acreage: <br />3. Do you have a phased reclamation plan? <br />4. Total acres affected during the report year:* <br />5. Total acres reclaimed for the report year:* <br />YES 0 / <br />MORE L Ss~ <br />YES <br />6. Total acres in various stages of reclamation:* <br />a. Backfilled: ~_ d. Topsoil replaced: ~ <br />b. Graded: ~ Average topsoil thickness <br />c. Seeded: ~_ replaced: _~ <br />List species seeded & seeding <br />rate for report year on back <br />7. The type and approximate quantity of fertilizers, ganic material or soil <br />conditioners used for the report year:* /1.~ <br />8. Estimated total acres to be affected in th"e~nextl,report year:* (o <br />9. COMMENTS: i171 tUf'rtl C`,~/1~A-x~r=C 7t'Y `Yln~~ c~ 1 T~ ~~S <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 />** NOIE: 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, then a new map is unnecessary. However, you must state this fact above. <br />Signature: ~ q Date : ~ / /~, / ~~ <br />Please type or print current contact name, mailing address, and phone number below <br />Contact Name: l~rll lf-7_o4~C ~ Phone: (7/9 )~-7S~G~~y <br />Company: ~,®~p, ~y QJM~(1.tbfS d//G <br />Address: ~7l) S ~~~ti. ,Sf' <br />L~/AiJcl~ (~/~i~ Goa ~/v7/~^~pr'/ r~.. <br />Federal Taa ID No. ~~ Social Security No.. ~~ D FI 011 (~ ~1~U <br />(A~ <br />