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~ iii iiiiiiiiiiiu iii <br />Notice of Intent to~Continue Mining Operations <br />112 Annual Report <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />1 <br />2 <br />3 <br />4 <br />5 <br />6 <br />Triad Western Corp <br />M-88-044 <br />Coal Creek Resources <br />~ ~,, , ;- <br />der°~IiIF~' ~~ <br />JAN 3 ~ 1996 <br />03/28/96 ilivislon of Minerals 8 ~eoiogy <br />X550.00 (Due on your Anniversary Date> <br />a. Permitted acreage: ~ b. County where mine is located: ~o <br />Has this mine been granted TEMPORARY CESSATION STATUS? YES <br />Does this mine operate MORE or LESS than 180 days per year? ~? LESS <br />Does this mine have a phased reclamation plan? ~ NO <br />,t+. <br />a. Backfilled: ~ d. Topsoil replaced: I. S <br />b. Graded: _~ Average topsoil thickness <br />c. Seeded: 2 replaced: ~'~ <br />List species seeded & seeding <br />rate for report year on back ~. ~'P^' 1'e" """~ <br />Total acres affected during the report year:* M ~~ <br />Total acres reclaimed for the report year:* -~~ '~ <br />1 <br />Total acres in various stages of reclamation:* <br />7. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* WOt~f. <br />8. Estimated total anncres to be affected in the next report year:* 1'/ <br />9. COMMENTS: !d'~~'~"PM-'~ ~ l wQ lorc"c '~ r='~! 't F:_~'•• J- <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 /> <br />** NOTE: If th ere have not b een any changes since the last annual report and you <br />previously subm itted a map wh ich correctly depicts the current acreage in items 2 <br />through 6, then a w map is unnecessar However, you must tate this fact above. <br />Signature: <br />- Dat e: ~ 7V <br /> <br />Please type or c rrent <br />print contact name, mailing address, and phone number below <br />Contact Name: ' <br />(JTJck~~'Y TU'fTc~ / Phone: ( ) ~GIZ'~'o~l <br />Company: ~f21l~f_i I,V F'•i TF''w t <br />Address: I l~l`tG- , ~~M. ~ ~iSi <br /> <br />~' <br />Federal T,~x ID No. or Social Security No.: ~`7- Il~~nc~i'7 <br />