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^ 1. ~ • III IIIIII III IIII III <br />` Notice of Intent to Continue Mining Operations q~(~1=1\/Ff' <br />112 Annual Report MAR "~ 1 1996 <br />Permittee Name: Denver Brick Company /l'(~r al~~ <br />Permit No: M-77-392 nwrsrene~r,nmarmariucd~dgj <br />Operation Name: Dawson Mine* <br />Anniversary Date: 03/11/96 <br />Total: $550.00 (Due on your Anniversary Date> <br />1. a. Permitted acreage: ~~ '~ ~-S b. County where mine is located: ~~~ p-~ <br />2. Has this mine been granted TEh1PORARY CESSATION STATUS? YES ~ / <br />Does this mine operate MORE or LESS than 180 days per year? MORE LES <br />3. Does this mine have a phased reclamation plan? YES NO / <br />4. Total acres affected during the report year:* ~ g.~..e+ r~ d a ~~ 2 <br />5. Total acres reclaimed for the report year:* <br />6. Total acres in various stages of reclamation:* <br />a. Backfilled: -3 tl. 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 />7. 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:* <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 />** NQIE: 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, you must state this fact above. <br />Signature: •//sf.~-,..~i` .~~'~ Date: 3/ ~~L9c~ <br />Please type or prints~ c//urrent cont<ac~mailing address, and phone number below: <br />Contact Name: -^/Ay.tie Je~rv,cG / Phone: (303 1 ~8~ 6 9S/ <br />Company: Ueh,.~.~ ~~,~~ ~o <br />Address: ~O LL~v~,,(pc~ /G6ao F~ cc <br />Federal Tax ID No. or Social Security No.: ~ y `~' ~~~, / 9~6 <br />