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<br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br /> <br />Notice of Intel III IIIIIIIIilllllll ing Operations R~r>r(l/~ ~~ <br />llv~ a nnnuai report APR <br />~ 41984 <br />Lincoln County ~,,:.;_. <br />M-87-016 '~rl c.' p:;~,~ G <br />County Line Pit* ~'~"•c,,"`` <br />04/07/94 ~,LQ <br />$225.00 (Due on your Anniversary Date) y~~i <br />1. Has this mine been granted TEMPORARY CESSATION STATUS? YES ~ ~ <br />Does this mine operate MORE or LESS than 180 days per year? MORE ESS <br />2a. Financial Warranty: $ N/A 2b. Permitted acreage: 3.5 <br />3. Does this mine have a phased reclamation plan? YES <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 />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 <br />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:* 3.5 <br />9. COMMENTS: Ain nha na a[ G} spar nra~.ol Prnm f7+i a ..i r nac.7 <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 />** NOIE: 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:~~ -~ .~.7:'f- Date <br />Please type or print current contact name, mailing address, and phone number below: <br />Contact Name: r.anra Claaart Phone: ( ~14)~43_~~~~ <br />Company: 1 i nrnl n l'niinfy <br />Address: p.n. anx Fi7 <br />uugo, CO 80821 n jam' <br />Federal Tax ID No. or Social Security No.' aa_~n 7A1 J1f',~ b <br />DD <br />