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t'-.: iSby <br /> • III IIIIIIIIIIIIIIII • cl;! 03z y d3 <br /> 999 RECEIVED <br /> Notice of Intent to Continue raining Operations <br /> 110c Construction Materials Annual Report <br /> JUL 17 1998 <br /> Permittee Name: Kiowa County <br /> Permit No. : M-83-116 Division of Minerals&Geology <br /> Operation Name: Gentz Gravel Pit <br /> Anniversary Date: August 25, 1998 <br /> Total: $225.00 (Due on your Anniversary Date) <br /> 1. Contract Dates: (for 111 permits only) Beginning date: <br /> Completion date: <br /> 2. a. Permitted acreage: b. County where mine is located: <br /> 3. Has this mine been granted TEMPORARY CESSATION STATUS? YES NO <br /> 4. Does this mine operate MORE or LESS than 180 days per year? MORE LESS <br /> 5. Does this mine have a phased reclamation plan? YES NO <br /> 6. Total acres affected during the report year: * <br /> 7. Total acres reclaimed for the report year: * `L- <br /> 8. Total number of acres in topsoil replacement stage: <br /> a. Average thickness of topsoil replaced: <br /> 9. Total number of acres seeded: <br /> a. List species seeded & seeding rate for report year on back <br /> 10. The type and approximate quantity of fertilizers, organic material or soil <br /> conditioners used for the report year: * <br /> 11. Estimated total acres to be <br /> affectedd�in thenext report year: - 2_ <br /> 12. COMMENTS: <br /> Please show the location of the acreage for items 4 - 6 on your map*'. Indicate the <br /> phases of the reclamation which have been completed, correlated with your timetable. <br /> '* NOTE: 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 through <br /> 6, then a new map ry. However, this must be stated above. <br /> 612L <br /> Signature: / Date: —AY— / y <br /> Please type or print current contact name, mailing address, and phone nupmberr bellow: <br /> Contact Name: � / / O Phone: ( �1/ ) /30 `5,�'/O <br /> K10WA'C011811 COIK KSIONERS FAX NO: <br /> Company: P.O. Box 591 <br /> Address: Eads, Colorado 81036 <br /> Federal Tax ID No. or Social Security No. : V / � �P o�y//✓' <br />