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III IIIIIIIIIIIII III ~ 999 Notice of Intent to Continue Mining Operatic 112c Construction Materials Annual Report Permittee Name: Tezak Heavy Equipment Co. Inc. Permit No. M-77-193 Operation Name: T.H.E. Aggregate Source Anniversary Date: November 22, 1998 Total: $550.00 (Due on your Anniversary Date) R~ '' e~° ~ RECEIVED - ~9 DIV. OF MINERALS & GEOLOGY 1. a. Permitted acreage: 100 b. County where mine is located: Fremont 2. Has this mine been granted TEMPORARY CESSATION STATUS? YES NO Does this mine operate MORE or LESS than 180 days per year? MORE LESS 3. Does this mine have a phased reclamation plan? ~ YES NO 4. Total acres affected duriny the report year:• _n_ 5. Total acres reclaimed for the report year:* -D- 6. Total number of acres in topsoil replacement stage: -0- a. Average thickness of topsoil replaced: -0_ 7. Total number of acres seeded: -0- a. List species seeded & seeding rate for report year on back 8. For non-phased operations provide dates extraction ceased: N/A a. Date reclamation began: N/A 9. The type and approximate quantity of fertilizers, organic material ~r soil conditioners used for the report year:* -0- 10. Estimated total acres to be affected in the next report year:* = 0- 11. CONA7ENT5: We are mining an existing bench and not disturbing any more acreage this year. 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. For phased operations show dates extraction ceased and dates reclamation be<(an. +* NOTE: If there have not been any changes since the last annual report and you pre viously submitted a map which correctly depicts the current acreage in items 2 through 6, then a new map is unnecessary. However, this must be stated above. Signature: ~_ ~ ~ ~~ Date: 9-24-9A ~\ Please type or print current contact name, mailing address, and phone number below: Contact Name: Ed Tezak. Jr. Phone: (719 ) 275-6746 company: T.H.E. Aggregate Source FAx No: 1719 ) 275-8196 Address: 201 Tunnel201 Tunnel Drives Canon City, CO 81212 Federal Tax ID No. or Social Security No.: