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. • III IIIIIIIIIIIIIIII • RECEivFr <br />~_ r <br />Notice of Intent to Continue Mining Operations JUN 2 8 <br />110(2) Annual Report 1991 <br />Permittee Name: Don Kehn Construction, Inc. Mined Land <br />Permit No: M-86-074 ~EC~BmaliOn D~~~sion <br />Operation Name: Dollerschell <br />Anniversary Date: 06/30/91 <br />Total: E50.00 (Due on your Anniversary Datel <br />1. Has your mine been granted TEMPORARY CESSATION STATUS? YES NO <br />Does your mine operate MORE or LESS than 180 days per year? MORE LESS <br />2. Total acres affected during the report year:* <br />3. Total acres reclaimed for the report year:* <br />c. Seeded: -0- <br />List species seeded seeding <br />rate for report year on back <br />10 <br />NONE <br />4. Total acres in various stages of reclamation:* <br />a. 8ackfilled: -0= d. Topsoil replaced: -0- <br />b. Graded: -0- Average topsoil thickness <br />replaced: -0- <br />5. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* NONE <br />6. Estimated total acres to be affected in the next report year:* l0 <br />7. COMMENTS: - <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: ~~,/ ~j~~//~/~-. Date: June 25. 1991 <br />Please type or print current contact name, address, and phone number below: / <br />Contact Name: Mr. Don Kehn Phoneme (303 1 226 - 4111 <br />Company: Don Kehn Construction, Inc. /// <br />Address: 6322 S. College , <br />Fort Collins, Colorado 80525 <br />Federal Tax ID No. or Social Security No.: <br /> <br />