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Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date: <br />Total : <br />1. a. Permitted acreage: 295 b. County where mine is located: Garfield <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? No <br />Does this mine operate MORE or LESS than 180 days per year? More <br />3. Does this mine have have a phased reclamation plan? Yes <br />4. Additional acres affected during the report year: 0 <br />5. Additional acres reclaimed for the report year : 0 <br />6. Additional acres in topsoil replaced during the report year: 0 <br />a. Average thickness of topsoil replaced N/A <br />7. Additional acres seeded during the report year: 0 <br />a. List species seeded and seeding rate for report year on back <br />8. For non - phased operations provide dates extraction ceased: N/A <br />11. <br />a. Date reclamation began: <br />9. The type and approximate quanity of fertilizers, organic material <br />or soil conditioners used for the report uear: N/A <br />10. Estimate additional acres to be affected during the next report year: 0 <br />area. Conveyor from Northbank permit area transports product to site. <br />* Please show the location of the acreage for items 4 -6 on your map ** <br />Indicate the phases of the reclamation which have been completed, correlated with your timetable. For phased <br />operation • • , . - - ctracti. • - - • :: - reclamation began. <br />Signature <br />Current contact name, mailing ad <br />Contact Name: <br />Company: <br />Phone: <br />Fax: <br />Notice Of Intent to Continue Mining Operations <br />112C Construction Material Annual Report <br />COMMENTS: Reclamation ongoing outside of processing /sales <br />Lafarge West, Inc <br />M- 2000 -113 <br />Mamm Creek Sand & Gravel <br />October 29,2011 <br />$791.00 <br />Robert Ray <br />Lafarge <br />(303) 657 -4579 <br />(303) 657 - 4037 <br />d phone number below: <br />Email: robert.ray(a7lafarge- na.com <br />Address: 10170 Church Ranch Way, Suite 200 <br />Westminster, CO 80021 <br />Federal Tax ID No. or Social Security No: <br />N/A <br />