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Notice of Intent to Continue Mining Operations <br />110 (2) Annual Report <br />Permittee Name: The Lakewood Brick and Tile Company <br />Permit No.: M- 1975 -009 <br />Operation Name: Doughty's Pit <br />Anniversary Date: September 30, 2011 <br />Total: $323.00 (Due on your Anniversary Date) <br />1. a. Permitted acreage: 5.00 b. County where mine is located: Jefferson <br />2. Has your mine been grated a TEMPORARY CESSATION STATUS? <br />Does your mine operate MORE or LESS than 180 days per year <br />Do you extract MORE or LESS than 70,000 tons of mineral or <br />overburden a year? <br />3. Do you have a phased reclamation plan? <br />4. Total acres affected during the report year:* <br />5. Total acres reclaimed for the report year:* <br />6. Total acres in various stage of reclamation:* <br />a. Backfilled: NA d. Topsoil Replaced: NA <br />Average topsoil thickness <br />b. Graded: NA replaced: NA <br />c. Seeded: NA <br />List species seeded & seeding <br />rate for report year on back <br />7. The type and approximate quantity of fertilizers, organic materials or soil conditioners used for <br />the report year:* NA <br />8. Estimated total acres to be affected in the next report year:* No new area <br />9. COMMENTS: Mining has continued in areas disturbed in past years on the southern area of the <br />mine. No new area will be disturbed this coming year since very little material is removed from this <br />mine yearly. No reclamation is required at this time. Please see the attached Annual Report Map <br />for location of areas discussed below. <br />Please show the location of the acreage for items 4 - 6 on your map. Indicate the phases of <br />the reclamation which have been completed, correlated with your timetable. <br />** NOTE: If there have been any changes sinc- the last annual report and you previously submitted <br />a map which correctly dep' is the c -nt acreage in items 2 through 6, then a new map is <br />unnecessary. However, y• must st <br />act above. <br />Company: The Lakewood Brick and Tile Company <br />Address: 1325 Jay Street <br />Denver, CO 80125 <br />Signature: A" Date: <br />Please type or prin urrent co ► act name, : •dr-ss and phone number below: <br />Contact Name: Thomas Murray Phone: (303) 238 -5313 <br />YES <br />MORE <br />MORE <br />YES <br />1.86 <br />0.00 <br />0.00 <br />See page 2 <br />NO <br />LESS <br />