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<br />• III IIIIIIIIIIIIIIII . • R <br />Notice of Inte.._ __ 999 ing Operations <br />110(2) Annual Report <br />Permittee Name: Fremont County JAN 2 9~g93 <br />Permit No: M-89-084 <br />Operation Name: Oak Creek Gravel Pit MINERHLo a ~~ . <br />Anniversary Date: 01/20/93 ~~ " - . <br />Total: $175.00 (Due on your Anniversary Date> V'.~c{/~o25 3 <br /> / <br />1. Has your mine been granted TEMPORARY CESSATION STATUS? YES NO <br /> Dces your mine operate MORE or LESS than 180 days per year? MORE ESS <br />2a. Financial Warranty: S /y A 2b. Permitted acreage: ~. Z <br />3. Do you have a phased reclamation plan? YES NO <br />4. Total acres affected during the report year:' O <br />5. Total acres reclaimed for the report year:' ~ <br />6. Total acres in various stages of reclamation:' <br />a. Backfilled: D d. Topsoil replaced: ~ <br />b. Graded: O Average topsoil thickness <br />c. Seeded: ~ replaced: A//A <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 yea,-:` N~A <br />d. E>timated fetal acres to be af.f/ected in the n~e!xt repo//rt year:* •75 <br />3. C~~iraENTS: ~.V602NAT/r1U.~s~ N/AN.NA,VBRi1N.l/ f~'ftfO~fllLOUIl7*/~OA~fpFEXfAA(}~/SY~?IfTt <br />d%// /~iA!/.ilG [(SRS L°n.Y0d~7'B~ ~N /4~Z - ~YlA~ac ~,r~srrN~ S~n~.~rv~c~ ~w.x /hEo <br />* Please show the location of the acreage for items 4 - 6 on your map" . <br />Indir_ate the phases of the reclamation which have been completed, correlated with <br />your timetable. <br />'* ^~~I~: If there have not been any changes since the last annual report and you <br />pre iously submitted a map which correctly depicts the current acreage in items 2 <br />thriugn 6, then a new map is unnecessary. Ho~:,ever, you must state this fact above. <br />Signature : ,/_~~e4~3>~(__~~i~~ Date : ~~9~ <br />Please tvoe or print current contact came, mailing address <br />G:ntact Name: [~A,PS.dgIG~UJ" '' / Procne <br />Company: ~,/ifpy>~,y1~f~ <br />.address : ~2~'o~i~fE~I7'~~f~4d,~/ru6~Zsrl~/1, <br />~A,uou UiT'/~ Cho /o,eaDo 8/a/z <br />Federal Tax ID No. or Socia' Sec,rity Ne.. <br />and phone number oelr`j <br />( 7/9 , 275- 7S/O ~ <br />q3 <br />a\`\ <br />