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<br />t • __ <br />.'r III IIIIIIIIIIIIIIII <br />Nocice of Intent. 999 Operations <br />S10c Construction Materials Annual Report <br />APR 0 3 1998 <br />Permittee Name: <br />Permit No. : <br />Operation Name: <br />Anniversary Dale: <br />Total: <br />Fremont County <br />M- 9 4 - 0 9 2 Division of Minerals & Geology <br />Iron Mtn Rd Grav Pit <br />Sanuary 23, 1998 <br />$225.00 (Due on your Anniversary Date) <br />1. Contract Dates: Beginning dQQate: Completion date: <br />2. a. Permitted acreage: 9• y b. County where mine is located: <br />3. Has this mine been granted TEMPORARY CESSATION STATUS? <br />4. Does this mine operate MORE oz LESS than 180 days per year? <br />5. Does this mine have a phased reclamation plan? <br />6. Total acres affected during the report year:• <br />7. Total acres reclaimed for the report year:' <br />8. Total number of acres in topsoil replacement stage: <br />a. Average thickness of topsoil replaced: <br />9. Total number of acres seeded: <br />a. List species seeded & seeding rate for report year on back <br />'~ e ~: 2 b 7 ~ <br />ck~. ovzi~3 <br />RECEIVED <br />iiPfiMa~lt <br />YES <br />MORE LESS <br />YES NO <br />/VO /t(EW <br />H ~ <br />10. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:• <br />11. Estimated tot/a~l~ac/res to ~b/e affected in the nexQt report year:• 5•~ <br />12 . COMMENTS : ~y7 /ONS /~1 /NF. ~N A~f.AS OL /~~PG/L~LYI~~S7IJiCQ~OV~B'/'N/~[~P <br />' Please show the location of the acreage for items 9 - 6. on your map " . Indicate the <br />phases of the reclamation which have been completed, correlated with your 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 <br />6, then a new map is unnecessary. However, this must be stated above. <br />~~ <br />Signature: /~~~ a/~/ Date: ~/ <br />Company: F~~/Vrsvr CdU.yfiY tV1~n ~~li~ <br />Please type or print /,c/Au~rrent contact name, mailing address, and phone number beloww: <br />Contact Name: ry(iQ'~~G/71fl~NG Phone: ('~y 1 Z7S~ /S~~ <br />cnv r.rn. rrl/// i79ri~7~i ~S~ <br />Address: ~~`J' ~'IiOL~LN/yL/~ X./L ~S <br />G~/1irri ~oaceaQa B/2/Z <br />Federal Tax ID No. or Social Security No.: ~B~-G~Da ~~~ <br />