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otice of Intent to Continue Minine Operations <br />112c Annual Report <br />Permittee Name: Yuma County <br />Permit No: <br />Operation Name: ~~Q <br />Anniversary Date: V1 <br />Total: $688'Off (Due on your Anniversary Date) <br />1. a. Permitted acreage: 7 -' b. County where mine is located: Yuma <br />2. Has this mine been granted TEMPORARY CESSATION STATUE? YES NO <br />Does this mine operate MORE or LESS than 180 days per year? MORE LESS <br />3. Does this mine have a phased reclamation plan? YES NO <br />4. Total acres affected during the report year.` ~ -~ <br />5. Total acres reclaimed for the report year:* 0 <br />6. Total acres in various stages of reclamation:* NY9 <br />a. Backfitled: N~ d. Topsoitreplaced: <br />b. Graded: N ~ <br />c. Seeded: <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 hear.` ~O0 j,'on -ya nvh-G <br />8. Estimated total acres to be affected in the next report year:` z- 3 <br />9. COMMENTS: <br />` Please show the location of the acreage for items 4 - 6 on your map". <br />Indicate the phases of the reGamation which have ueen completed, correlated with your <br />timetable. <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 through 6, <br />then a new map is unnecessary. However, you must state this fact above. <br />Signature: ~ .. ~ Date: ,~ - ~~ - °~ <br />Please type or print current contact name, mailing address, and phone number below: <br />Contact Name: Paul Like Phone: (970)332-5718 <br />Company: Yuma County <br />Address: 1310 S. Blake St. <br />Wray. CO 80758 <br />Federal Tax ID No. or Social Security No.: <br />