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• III Illllllllllll III • r~1 rf 999 ~~v~7~r.-- .. Notice of Intent to Continue ~•~~ning Oper t ~ lit Annual Report Permittee Name: Siegrist Construction Company `,~N 4 8 Permit No: M-82-015 DIViSiUP,~Cir Operation Name: Siegrist Const Co M1NERq~S$~`y ,,, Anniversary Date: 12/10/92 :, Total: $490.00 (Due on your Anniversary Date) 1. Has your mine been granted TEMPORARY CESSATION STATUS? )¢~ NO Does your mine operate MORE or LESS than 180 days per year? MORE kkS~l 2a. Financial Warranty: _$113,000.00 2b. Permitted acreage: 395.817 3. Do you have a phased reclamation plan? YES pt~ 4. Total acres affected during the report year:* 10 5. Total acres reclaimed for the report year:* p 6. Total acres in various stages of reclamation:* a. Backfilled: 20 d. Topsoil replaced: o b. Graded: 20 Average topsoil thickness replaced: 6" c. Seeded: o List species seeded & seeding rate for report year on back 7. The type and approximate quantity of fertilizers, organic material or soil conditioners used for the report year:* 8. Estimated total acres to be affected in the next report year:* 730 9. COMMENTS: * Please show the location of the acreage for items 4 - 6 on your map**. Indicate the phases of the reclamation which have been completed, correlated with your timetable. ** NOTE: If there have not been any changes since the last annual report and you previously submitted a map which correctly depicts the current acreage in items 2 through 6, then a new map is unnecessary. However, you must state this fact above. Signature: [1~~~/~,4~ Date Please type or print cur~nt contact name, mailing address, and phone number below Contact Name: Ro r._ s; .grist Phone: ( 303 >789-6442 Compan is G; Q is n chr i tiOCl O_ Addre;S: 6Ag9 Vo k R r D nv o1o ado 80 9 \~\~ Federal Tax ID No. o~ Social Security No.: