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<br />• iii iiiiiiiiiiiuiii • <br />Notice of Intent to Continue Mining Operations <br />110(2) Annual Report <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />~--i~ ~ aV <br />JAN16199~ <br />Mi~~ i and <br />Fremont County o,. <br />M-90-047 <br />Quagmire Creek <br />01/20/92 ~~ <br />8120.00 (Due on your Anniversary Date) (~ <br />1. Nas your mine been granted TEMPORARY CESSATION STATUS? <br />Does your mine operate MORE or LESS than 180 days per year? <br />2. Total acres affected during the report year:* <br />3. Total acres reclaimed for the report year:* <br />4. Total acres in various stages of reclamation;* <br />a. 13ackfilled: ~' d. <br />b. Graded: -'"" <br />c. ~ieeded: <br />List species seeded & seeding <br />rate for report year on back <br />\~ <br />YES NO <br />MORE LESS <br />~ ~? AcQF <br />~, <br />..- <br />Topsoil replaced: <br />Average topsoil thickness <br />replaced: <br />5. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* <br />6. Estimated total acres to be affected in the next report year:* / A e,e E <br />7. COMM_NTS: <br />* Please show the location of the acreage for items 2 - 6 on your map**. <br />Indicate the phases of the reclamation which have been completed, correlated <br />with your timetable. <br />NOTE: IF there have not been any changes since the last annual report and <br />you previously submitted a map which correctly depicts the current acreage in <br />items 2 through 6, then a new map is unnecessary. However, you must state this <br />fact above. <br /> <br />Signature: Date: <br />Please type or print current contact name, address, and phone number below: <br />Contact ,Name: /~aQor, iQ{-wood <br />Company: ~/Llit,ax~ Cc>wr`f"~ <br />Address: ll~o~C 27'1 / <br /> <br />Federal Tax ID No. or Social Security No.: <br />c~~9 ) 9yj- 423 <br />2 <br />~' ~~ <br />~\\~ <br />