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<br />Permittee Name: <br />Permit No: <br />I <br />•/ c,~ ~~ <br />III IIIIIIIIIIIIIIII <br />Notice of Intent to 5ontriue mtntng Operations <br />110(2) Arnual Report 4 (;F~\/F~l <br />John Dillon ~ l_ ?2 X996 <br />M-86-165 <br />Operation Name: Willow Bend* diwsianar~linerarsaodmb~ <br />Anniversary Date: 08/27/96 ~y <br />Total: $225.00 (C~e on your Anniversary Date)' <br />2. <br />3 <br />4 <br />5 <br />6 <br />7 <br />8 <br />[~'1' <br />god ~ <br />a. Permitted acreage: S .9 t County wFere mine is locat~d: <br />Has this mine been granted TEMPORAR` CESSATION STATUS? 'YES <br />Does this mine operate MORE or LESS than 180 days per year? AMORE LESS <br />Do you extract MORE or LESS than 70,000 tons of mineral or <br />overburden a year? AMORE LESS <br />Does this mine have a phased reclamation plan? YES NO <br />Total acres affected during the report year:* /, 5 <br />Total acres reclaimed for the report year:* <br />Total acres in various stages of re=lamation:* <br />a. Backfilled: ~ d. Topsoil replaced: <br />b. Graded: Average topsoil thi kness <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 mater1al or soil <br />conditioners used for the report year:* I <br />Estimated total acres to be affected in the next report year:* <br />9. COMMENTS: <br />* Please show the location of the acreage for items <br />Indicate the phases of the reclamation which have been <br />your timetable. <br />** NOTE: If there a not bee any changes since the <br />previously submitted a map whit ctly depicts the <br />through 6, then a n map` iq u~Q/y. However, th <br />4 - 6 on your map** <br />completed, co related with <br />last annual report and you <br />current acrea a in items 2 <br />is must be sta ed above. <br />Signature: Date: u C~.~ S~ ~~ <br />Please type or print current contact name, mailing address, and phon number below: <br />Contact Name: ~(~~l~C~~~llr,r~ Phone: (97~) X17-933 <br />Company: S1~flC~C'n ? /~C <br />Address: ~1~1 ~I (~ <br />~ ~ <br />Federal Tax ID No. or Social Security No.: FSL - O $ 9 5 ~ ~ 3 <br />pENVER <br />OFFICE <br />