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<br />Permittee Name: Fremont Paving & Redi-Mix,Inc. OCT 2 8 1991 <br />Permit No: M-80-224 Mined Land <br />Operation Name: McKenzie Pit Reclamation Division <br />Anniversary Date: 10/27/91 <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 />• s LIII1111111111111111 <br />Notice of Itltent to Continue Mining Operations L ` C 1 V ~. v <br />112 Annual Report ` <br />2. Total acres affected during the report year:* <br />3. Total acres reclaimed for the report year:* <br />4. Total acres in various stages of reclamation:* <br />a. Backfilled: NA d. <br />b. Graded: 1.4± <br />c. Seeded: 1.4± <br />List species seeded & seeding <br />rate for report year on back <br />0.7±<r~ <br />none <br />Topsoil replaced: 1.4± <br />Average topsoil thickness <br />replaced: <br />5. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* NA <br />6. Estimated total acres to be affected in the next report year:* unknown <br />7. COMMENTS: '~# Additional adea affected for the report year. Total <br /> to date is approx. 33± ac. <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 />Please type or print current contact name, address <br />Signature: ~/ .~Q~ Date: IV~1`/~5 <br />Contact Name; Ms. Phyllis Ary <br />Company: Fremont Paving & Redi-Mix, <br />Address: Box 841 <br />Canon Citv. CO 81215-0841 <br />and phone number below: j <br />Phone: (719 > 275-9579 <br />Inc. <br />Federal Tax ID No. or Social Security No.: <br /> <br />1l\3~ <br /> <br />