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<br />- ~ III IIIIIIIIIIIIIIII~ * _ ~~CE~r,~~ <br />Notice of Intent ~......,.~999,... ... ....,g Operations ~ <br />112 Annual Report DEC 1 9 X991 <br />Permittee Name: Centennial Materials, Inc. Mined Land <br />Permit No: M-82-155 Reclamation <br />Operation Name: Fountain Pit Div~~~- <br />Anniversary Date: 12/31!91 <br />Total: $430.00 (Due on your Anniversary Date) <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:' S.5 acres <br />3. Total acres reclaimed for the report year:" -o- <br />4. Total acres in various stages of reclamation:' <br />a. Backfilled: -o- d. Topsoil replaced: -o- <br />b. Graded: -o- Average topsoil thickness <br />c. Seeded: -b- replaced: Min. 5~~ <br />List species seeded & seeding <br />rate for report year on back <br />5. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:' n/a <br />6. Estimated total acres to be affected in the next report year:' s.75 <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: ~~~E+~~7~..~(C~..ti'/ y'~ Date <br />Please type or print current contact name, address, <br />Contact Name: z. scott xenaricxs P <br />COmpdny: Centennial Materials Inc. / <br />Address: 2535 Delta Drive <br />Colorado Springs, Co. 80910 <br />/z~~ ~ ~ yi <br />phone number below: / <br />( 719 ) 392-42078.// <br />J' ~` <br />ocT , 3 ~Q~1 ~ a~ <br />i <br />Federal Tax ID No. or Social Securir~ No.: <br />