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<br />Permittee Name <br />Permit No: <br />Operation Name <br />Anniversary Da <br />Total: <br />D':^:~ion of tiLro~~'s 8 Goo'o9Y <br />'x225.00 (Due on your Anniversary Date) <br />1. a. Permit 'd acreage: ~ b. County where mine is located: <br />2. Has this ~ne been granted TEMPORARY CESSATION STATUS? YES <br />Does this nine operate MORE or LESS than 180 days per year? MORE <br />Do you ex 'act MORE or LESS than 70,000 tons of mineral or <br />overburde a year? MORE <br />3 <br />4 <br />5 <br />6 <br />T ~~2 <br />ii0 <br />LESS <br />LESS <br />'.0 <br />D <br />Does this nine have a phased reclamation plan? YES <br />Total acr s affected during the report year:* <br />Totai acr s reclaimed for the report year:* O <br />Total acr s in various <br />a. Backfi led: <br />b. Graded: <br />c. Seeded: <br />List s ecies seeded <br />rate f r report yea <br />stages of reclamation:* <br />O d. Topsoil replaced: O <br />O Average topsoil thickness <br />~ replaced: N/R <br />& seeding <br />r on back <br />7. The type nd approximate quantity of fertilizers, organic material or soil <br />condition rs used for the report year:* N/A <br />8. Estimated total acres to be affected in the next report year:* O. ZS <br />9. COMMENTS: NO l~~tiui:zrTis ~Elfe ' ~ ~{/lRp ~~POU/DAD <br />* Please sh w the location of the acreage for items 4 - 6 on your map** <br />Indicate the p axes of the reclamation which have been completed, correlated with <br />your timetable <br />** NOTE: If t ere have not been any changes since the last annual report and you <br />previously sub fitted a map which correctly depicts the current acreage in items 2 <br />through 6, the a new_map is unnecessary. However, this must be stated above. <br />Signature: ~~t'/G.~a,,Ei~{',/~ii~~w Date: 9/GJ~/(r <br />Please type or <br />Contact Name <br />Company: <br />Address: <br />Federal Tax ID <br />• III IIIIIIIIIIIII III • <br />or_r.Fl\/F_D <br />Notice of Intent to Continue Min~~ng OperatidrysN ~ Q 1996 <br />110(2) Annual R~por~ - <br />Fremont County <br />4-94-118 <br />Phantom Canyon Pit <br />08/08/96 <br />print current contact name, mailing address, and phone number below: <br />iYlaesN~G R.,n~,~ Phone: (~1/9 ) 2~5-7x16 <br />`.PfMOr1l~' lOU.V7% <br />~EOA~l~Zf~~iY~~~LA.u///,dG {Zsw/yG <br />c~av'ayCrnt, ~~oreA.a~ ~/zi2 <br />No. or Social Security No.: ~Q~'6~ao~T~s <br />i <br />