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:. ~ ~ IIV II IIIIII IIII'll :~ Notice of Intent to Continue Mining Operations 112 Annual Report Permittee Name: Weld County RECEI\/ED ,, ,.D Permit No: M-80-120 ~"~'` Operation Name: Koenig Pit* JAN 3 ~ 1995 5 Anniversary Date: 03/01/95 I$ Z ~ Total: $550.00 (Due on your Anniversary Date) Divis~ ~ of Minerals 8 Geo'~o 1. a. Permitted acreage: b. County where mine is located: ~ J 2. Has this mine been granted TEMPORARY CESSATION STATUS? YES ~ / Does this mine operate MORE or LESS than 180 days per year? MORE LE 3. Does this mine have a phased reclamation plan? YES i 4. Total acres affected during the report year:* ,{~,ci£'- 5. Total acres reclaimed for the report year:* il/C~~ 6. Total acres in various stages of reclamation:* a. Backfilled: d. Topsoil replaced: b. Graded: Average topsoil thickness c. Seeded: replaced: List species seeded & seeding rate for report year on back ~ 7. The type and approximate quantity of fertilizers, organic material or soil conditioners used for the report year:* 8. Estimated total acres to be affected in the next report year:* ~ ~,d 9. COMMENTS: '. * Please show the location of the acreage for items 4 - 6 on your map**. Indicate the phases of the reclamation which have been completed, correlated with your timetable. `* NOTE: If there have not been any changes since the last annual report and you previously submitted a map which correctly depicts the current acreage in items 2 through 6, then a new map is unnecessary. However, you must state this fact above. Signature : ~Nw,,...,~ ~~fA Date : ~- //- ~y Please type or print current contact name, mailing address, and phone number below: / Contact Name: Br2cri«o l.~L~(D~/s~/[..// Phone: (303 ),~5~-/rvaoff,37~jr/ Company: ~lY/~, L(~o-z,r~' Address: q,33 ~ //~iquP ~6'A~jc ~$~ Federal Tax ID No. or Social Security No.: ~`