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• ~II ~I~~~~~I~~~~~ ~I~ • <br />. - RECE1VEn <br />Notice of Intent to Continue Mining, Operations <br />110(2) Annual Report dUL271992 <br />Permittee Name: Dolores County DIVISIONOF <br />Permi t No: M-84-155 MINERALS & GEOLOGY <br />Operation Name: Bartley Gravel Pit <br />Anniversary Date: 09/27/92 <br />Total: $175.00 (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 />2a. Financial Warranty: $ 2b. Permitted acreage: /~ <br />3. Do you have a phased reclamation plan? YES NO <br />4. Total acres affected during the report year:* ~p <br />5. Total acres reciaiined for the report year:* ,~ <br />6. Total acres in various stages of reclamation:* <br />a. Backfilled: / ~ d. Topsoil replaced: <br />b. Graded: Average topsoil thickness <br />c. Seeded: replaced: <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:* <br />8. Estimated total acres to be affected in the next report year:* / ~Z <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 have not been any changes since the <br />previously submitted a map which correctly depicts the <br />through 6, then a new map is unnecessary. However, yo <br />4 - 6 on your map**. <br />completed, correlated with <br />last annual report and you <br />current acreage in items 2 <br />~ must state this fact above <br />Signature: G~Y/~/~1a~i,,CoGY-.~-- Date: 7- ~' ` `/2- <br />Please type or print current contact name, mailing/add1ess <br />Contact Name: ~o/~ ~-i4~Y~~~ ! Phone <br />Company: ~~I,,a~C'ES r!'ociaCTY <br />Address: ~ to o ~ __ _ <br />and phone number below <br /> <br />Federal Tax :D No. or Social Security No c~~ ~ D DD 7 ~O~ <br />~\q~ <br />1~ <br />