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~ ~E~ III IIIIIIIIIIIIIIII <br /> <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />Notice of Intent to Continue Mining Operations <br />110(2) Annual Report aG(,F\\IF~ <br />Fremont County JAS 22 1996 <br />M-78-096 ~z ~oyY <br />01/20/96 Gravel Pit* wnO\M`ne~a~se. ° <br />$225.00 (Due on your Anniversary @~~e) <br />1. a. Permitted acreage: 7.G/,~ 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. Does this mine have a phased reclamation plan? <br />4. Total acres affected during the report year:* <br />5. Total acres reclaimed for the report year:* <br />6. Total acres in various stages of reclamation:* <br />YES <br />LESS <br />NO <br />0.10 <br />O <br />a. Backfilled: O d. Topsoil replaced: ~ <br />b. Graded: ~ Average topsoil thickness <br />c. Seeded: D replaced: .V/4 <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:* N//~ <br />8 <br />9 <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: _%~s~~~,~lv~ Date: /-/9'9l< <br />Please type or pri~~n~~t current contact name, mailing address, and phone number belo <br />Contact Name: /Y/d,Psl/,PGL ~i/lLS~[ / Phone: (7/9 ) 2~S^75/O <br />Company: FE~,vr Pr~,vey <br />Address: ~E~.O.Pf.1l~ilA~~/1JN.d/•V6~7oriiel~ <br />is/S /~AIDAI ~s~btl!/~, .~sN1it1 B ~ <br />~'gvevCify~ C/sFO,eA~ ~/Z/Z ".~/ <br />Federal Tax ID No. or Social Security No.: ~B~"GoDO %~S <br />FR6MON7' <br />®S / <br />Estimated total acres to be affected in the next report year:* LES~Nav /.O <br />