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1 <br />Permittee Name: Coulson Excavating Company <br />Permit No: M-86-123 <br />Operation Name: Kirtright Pit <br />Anniversary Date: 11/07/91 <br />Total: $430.00 (Due on your Anniversary Date) <br />.- <br />01101001~~10~~00010 . ~~~~I~u ~~ ~~~ <br />Notice of Inte, sss ing Operations <br />112 Annual Report "~ <br />Has your mine been granted TEMPORARY CESSATION STATUS? <br />Does your mine operate MORE or LESS than 180 days per year? <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: 12.13 d. <br />b. Graded: 12.13 <br />c. Seeded: 0 <br />List species seeded & seeding <br />rate for report year on back <br />NOV 0 4 1991 <br />Mined Land <br />Reclamation Divisior, <br />YES NO <br />MORE LESS <br />one <br />four <br />Topsoil replaced: 12.13 <br />Average topso~~l thickness <br />replaced: 6 <br />5 <br />6 <br />7 <br />The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* none <br />Estimated total acres to be affected in the next report year:* tWO <br />COMMENTS: <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 />Signature:~~~~1_t9~C~~~D -~-'~-'~`_ Date: <br />~. <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 /> <br />Please type or print current contact name, address, and phone number below: <br />federal Tax ID No. or Soclal Security No.: <br /> <br /> <br />Address: 3609 No. Co. Rd. 13 // <br />Loveland, Co. 80538 iGt1 <br />Oct. 31, 1991 <br />