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I ~~~ <br />' ~~~ ~~~~~~~~~~~~~~I~ <br />Notice of Inte~._ __ __999 ing Operations <br />110(2) Annual Report <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />Phillips County <br />M-94-007 <br />Johnson Pit <br />05/23/95 <br />~3~ <br />R~~E~VED <br />APR 14 1995 <br />D,,c_ .:,. _.....•.,,,tlis 8 Geolo9Y <br />$225.00 (Due on your Anniversary Date) <br />1. a. Permitted acreage: q.q b. County where mine is located: <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? YES <br />Does this mine operate MORE or LESS than 180 days per year? MORE <br />Do you extract MORE or LESS than 70,000 tons of mineral or <br />overburden a year? MORE <br />3 <br />4 <br />5 <br />6 <br />7 <br />Phi 7 1 ; 11G <br />NO <br />ESS <br />LESS <br />NO <br />1 <br />0 <br />Does this mine have a phased reclamation plan? YES <br />Total acres affected during the report year:* <br />Total acres reclaimed for the report year:* <br />Total acres in various stages of reclamation:* <br />a. Backfilled: -- d. Topsoil replaced: -- <br />b. Graded: -- Average topsoil thickness <br />c. Seeded: -- replaced: -- <br />List species seeded & seeding <br />rate for report year on back <br />The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* -- <br />8. Estimated total acres to be affected in the next report year:* 1 - 2 <br />9. COMMENTS: <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 <br />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 <br />through 6, then a new map is unnecessary. However, this must be stated above. <br />Signature: ~~o~i ~•~~> Date: ~L3 <br />Please type or print current contact name, mailing address, and phone number below: <br />Contact Ndme: Randy Schafer ~ Phone: (970 ) 854-3778 "1-` <br />Company: Phillips County <br />Address: 221 S. Interocean <br />Holyoke, CO 80734 <br />Federal Tax ID No. or Social Security No.: _ <br />~- O ~~~ <br />~L <br />PQ <br />