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r • <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />r, <br />L , <br />Notice of """"9yy"""" Mining Operations R <br />110(1 ) Annua ~ Neport E~E~~ED <br />Gil Moser AP/.~z` 1994 <br />M-90-059 p~~~., <br />OSd/21/94-Pilot* J0 ui,wneja~s`~Geo%9Y <br />$75.00 (Due on your Anniversary Date) <br />1. Has this mine been granted TEMPORARY CESSATION STATUS? YES NO ~ _ _ <br /> Does this mine operate MORE or LESS than 180 days per year? MORE LES <br />2a . Financial Warranty: $ 1~00~ 0 ~ 2b. Permitted acreage: ~ ~~ <br />3. Does this mine have a phased reclamation plan? YES NO <br />4. Total acres affected during the report year:* rho n e <br />5. Total acres reclaimed for the report year:* n or`e <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, organic material or so il <br /> conditioners used for the report year:* i <br />8. Estimated total acres to be affected in the next report year:* t~r~r~e_ <br />9. COMMENTS: No ~.~c~'.~Y~our~c.2- s~n~e. 1~1c11 1~~.. ~< Gu~.c,n~ <br /> <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 <br />ti me tab l e . <br /> /n~TT <br />N <br />** IXIE: 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: \\Q ~~,,,_ Date: y 11~ Iq~l <br />Please type or print current contact name, mailing address, and phone number below <br />Contact Name: JeroM~ Sd~~~ ~ Phone: (303) Z59-Zo90 <br />Company: (~~„ m,,,,;,u <br />Address: ~i.( N 17 _ ~ „/ <br />(l .,,r~.,o~ Galo 81~oz ~~ <br />R.g <br />Federal Tax ID No. or Social Security No.: _ g ~ ~~ 5 ~ q ~`{ PQR <br />