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otice of Intent to continue Mining Operations <br />112c Construction Materials Annual Report <br />Permittee Name: <br />?a s a?7 ; ?• c°c L _ a f?a <br />Permit No. 0 5 R <br />Operation Name: <br />Anniversary Date: ',-2GQ9 <br />Total: ????. ?? ._...------------- --------- - <br />1. a. Permitted acreage: b. County where mine is located: <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? YES NO <br />Does. the mine operate MORE or LESS than 180, days per year? MORE LESS <br />3. Does this mine have a phased reclamation plan? YES NO <br />4. Total acres affected during the report year:* <br />a3 <br />5. Total acres reclaimed for the report year:* 4 <br />6. Total number of acres in topsoil replacement stage: ---- <br />a. Average thickness of topsoil replaced: -.- <br />7. Total number of acres seeded: --. <br />a. List species seeded & seeding rate for report year on back <br />8'. For non-phased operations provide dates extraction ceased: <br />a. Date reclamation began: <br />9. The type and approximate quantity of fertilizers; organic material or soil conditioners <br />used for the report year:* <br />- <br />10. Estimated total acres to be affected in the next report year:* alb <br />11. COMMENTS: <br />* Please show the location of the acreage for items 4 - 6 on your map**. Indicate the phases of the reclamation <br />which have been completed, correlated with your timetable. For phased operations show dates extraction <br />ceased and dates reclamation began. <br />** NOTE: If there have not been any changes since the last annual report and you previously submitted a map <br />which correctly depicts the current acreage in items 2 through 6, then a new map is unnecessary. However, this <br />must be stated above. <br />Signature: Date: _ o <br />Please type or rit current contact name, mailing address, and phone number below: <br />Contact Name: Aae C . &Xkc(- Phone: C\ -14 2? 9-3385 <br />Company: K;r 1?„Q? C?nSkcvc?'o1 FAX N0: `719 <br />Address: ?. O , Dox Jr?d <br />co q 10(0q <br />Federal Tax ID No. or Social Security No.: 7LA - `',a(„ 5 g`7