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<br /> <br />` <br />~ <br />' II I II I II III IIIII III • <br />~• _ning <br />Not of Int~ <br />rations _- ~ ~ n <br />~ <br /> 112c Construction Materials Annual Report ~ \_ <br />Permit <br />- Permit tee Name: Weld County f7 <br />No. ~ M-81-286 F~[) <br />l ~ ~9~~ S <br />J~ <br />Operat ion Name: Thomas Gravel Pit 4* <br />• Annive rsary Date: March O1, 1997 <br />Total: $550.00 (Due on your Anniversary Date)""" ~•'~~~•"-'~o~y <br />1. a. Permitted acreage: ~r7,~ b. County where mine is located: <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? YES <br /> Does this mine operate MORE or LESS than 180 days per year? MORE LES <br /> <br />3. Does this mine have a phased reclamation plan? YE NO <br />4. Total acres affected during the report year:* <br />5. Total acres reclaimed for the report year:* 0 <br /> O <br />6. Tctal number of acres in topsoil replacement stage: <br /> <br /> a. Average thickness of topsoil replaced: ~' <br /> <br />7. Total number of acres seeded: <br /> a. List species seeded & seeding rate for report year on back <br />8. For non-phased operations provide dates extraction ceased: ` <br /> <br /> a. Date reclamation began: <br /> <br />9. The type and approximate quantity of fertilizers, organic material or soil <br /> conditioners used for the report year:* <br /> <br />10. Estimated total acres to be affected <br />in the next re <br />po <br />rt year:* ~~ <br /> / <br />J <br />n <br />~ <br />~ <br />~ <br />~ <br />~I ~ <br />n <br />~ / <br />/ <br />11. COMMENTS: [~~ ~,; <br />,,. /~i-a..s P_~,L <br />i <br />ni <br />a_. / <br />i~ n: <br />. S~O~.C <br />hQ , r..~t n/ans <br /> n .. 7 .~ T <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. For phased operations show dates extraction ceased and dates <br />reclamation began. <br /> <br />++ NOTB: 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 ~jnew map is unnecessary. However, this must be stated above. <br />Signature:/Jal.~ ~~'hLc.,-~ Date: ~~3~~J7 <br />Please type or print current contact name, mailing address, and phone number below: <br />Contact Name: ~~ ,~SO/7 Phone: ( 970 )356-ydnl~ r 3~sp <br />n / FAX NO: ( 970 ) iia-~&~' ~ <br />Company: ~,)p~,l /n,g~i ~,bJ. ),,.~f <br />Address <br />Federal Tax ID No. or Social Security No.: 0 7 ~-/o DD~ -il~ 3 <br />