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,, <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />~ ~ ~ ~ III IIIIIIIIIIIII III <br />Notice of Intent to Continue Mining Operations ey9 <br />1.12 Annual Report - ~~Ct~~rv~-"' <br />Cheyenne County OCT 12 1995 <br />M-83-106 <br />P i t No 2 * Minerals & Geology <br />09/22/95 p v's.~`' `' " <br />$550.00 (Due on your Anniversary Date) <br />1. a. Permitted acreage: ~ S b. County where mine is located:~ry,es,,,~~ <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? YES <br />Does this mine operate MORE or LESS than 180 days per year? MORE' ES ~ <br />3. Does this mine have a phased reclamation plan? YES NO <br />4. Total acres affected during the report year:* / ~t~_ <br />5. Total acres reclaimed for the report year:* a <br />6. Total acres in various stages of reclamation:* <br />a. Backfilled: ~ d. Topsoil replaced: b <br />h. Graded: c Average topsoil~hickness <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, organic material or soil <br />conditioners used for the report year:* N ~ N <br />8. Estimated total acres to be affected in the next report year:* / ~~ <br />9. 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. <br />** IIQIE: 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 />Signaturt{~';:=(/~,.o_,~.~~ Date: <br />Please type or print current contact name <br />Contact Name: <br />Company; <br />Address: <br />mailing address, and phone number below: <br />/~ <br />Phone: (7i 5 ) 7Ce~- ~~7~ <br />Federal Tax ID No. or Social Security No.: ~,~- ~n/7d - 75~ <br />