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<br /> <br />III IIIIIINIIIIII III <br />s~is <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />• <br />Notice of Intent to Contintie MaRin erations <br />110(2) Annual Report <br />Kiowa County <br />M-90-148 <br />Gray Pit <br />02/05/92 <br />$120.00 <br />YES NO <br />MORE LESS <br />~~.~_:,. <br />.,.~ ;, . <br />~~ <br />SAN 2 9 199: <br />Qn., • Mined `and <br />(Due on your Anniversary Date> <br />1. Has 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. Backfilled: O d. <br />b. Graded: o <br />c. Seeded: n <br />List species seeded & seeding <br />rate for report year on back <br />Topsoil replaced: ~ <br />Average topsoil thickness <br />replaced: o <br />5. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* D <br />6. Estimated total acres to be affected in the next report year:* <br />7. COMMENTS: ~ h,~ ~-}~ iS en n C_ree.K ~]e~Y~-h P. R~'•~'PC~ <br />, ~ ., n ., n _ ~ n , , ~ <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 />Signature: ~ ~~Y~l ,' a~rQAn~ Date: l~, - 9- I <br />Please type or print current contact name, address, and phone number below: <br />Contact Name: <br />Company: <br />Address: <br />Phone: ( > <br />Federal Tax ID No. or Social Security No.: <br />rve a r. <br />~a~ <br />~\3~ <br />