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ermittee Name: <br />Permit No. . <br />Operation Name: <br />Anniversary Date: <br />Total: <br />1 <br />2 <br />3 <br />4 <br />5 <br />DENVERC2 <br />III'II'II'II' ~ OFFICE <br />RF_CEIVED <br />Notice of Intent cu .._ 999 IIIIII lg Operations ~y~7 <br />112c Construction Materials n,„iual Report MAR 2'~~1991 <br />Saguache County <br />M- 9 5 - 0 7 5 pivicion u, .vmierais t~ Geology <br />a. Permitted acreage: <br />Coleman Pit <br />April 25, 1997 <br />$550.00 (Due on your Anniversary Date) <br />~4o b. County where mine is located: ~lIH~rFCHE <br />Has this mine been granted TEMPORARY CESSATION STATUS? <br />Does this mine operate MORE or LESS than 180 days per year? <br />Does this mine have a phased reclamation plan? <br />Total acres affected during the report year:* <br />Total acres reclaimed for the report year:* <br />YES <br />MORE LES <br />YES NO <br />G~ <br />6. Total number of acres in topsoil replacement stage: 'S"' <br /> <br />a. Average thickness of topsoil replaced: 0 <br />'g' <br />7. Total number of acres seeded: D <br /> a. List species seeded & seeding rate for report year on back <br />8. For non-phased operations provide dates extraction ceased: `- <br /> a. Date reclamation began: - <br />9. The type and approximate quantity of fertilizers, organic material or soil <br /> conditioners used for the report year:* ~ <br />10. Estimated total acres to be affected in the next report year:* 3 ~ <br /> <br />11. J <br />COMMENTS: ~izf/S (/~fl.e -~JY/N rA.~ y L/D//S r57E/J DF .E'6.crncr.f~I 6/~ <br />> <br />$T3C~JC,{~1 ~c5_ <br /> > <br />~~,?ES Of Fs~K/STiu~ 6,('CRUN7~o-u W~~PE du/L t'. <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. For phased operations show dates extraction ceased and dates <br />reclamation began. <br />** NOTE: 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, this must be stated above. <br />Signature: Date: -.3 3 <br />~~'7 <br />Please type r int current contact me, mailing address, and phone number below: <br />Contact Name: ~o KrV ~ - ~ tl.fGE FL((v Phone: ( ) <br />!~ l/ /n/ J !JA / O FAX N0: ( ) <br />Company: ~JAGrrn rkG lJ'Du w~O i /(c~J t CJ,Pi0 E6 <br />Address: ~D, ~~OK °~7~0 <br />L~~6UA[XE ~~ ~~~ ~ / <br />0 <br />Federal Tax ID No. or Social Security No.: ~ ~ _ ~ Do D S'D Z <br />