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t� <br /> v , <br /> Notice of Intent to Continue Mining Operations FEB 2c 2017 , <br /> 1 10(2) Annual Report <br /> DIVISION OF RECLAMATION <br /> MI Ty_ <br /> Permittee Name : Ni usch EE <br /> Permit No: -01-287 - <br /> 70 <br /> Operation Name : rav Pi t 3* <br /> Anniversary Date : 02/25/94 <br /> Total : $225.00 (Due on your Anniversary Date) <br /> 1 . Has this mine been granted TEMPORARY CESSATION STATUS? YES NQ. <br /> Does this mine operate MORE or LESS than 100 days per year? MORE FSS, <br /> 2a. Financial Warranty: $ <br /> `�(�� 2b. Permitted acreage: <br /> YES 3. Does this mine have a phased reclamation plan? r I �0- <br /> 4. Total acres affected during the report year : * <br /> 5. Total acres reclaimed for the report year :* <br /> 6. Total acres in vari/o�u5 )stages of reclamation:* �/ l <br /> a. Backfilled : '1// d . Topsoil replaced: / <br /> b . Graded: Average top soi �t ' ckness <br /> replaced: <br /> c . Seeded: <br /> List species se ded & seeding <br /> rate for report year on back <br /> 7 . The type and approximate quantity of fertil ' ,er organic material or soil <br /> conditioners used for the report year :* <br /> 8. Estimated tot 1 acres to be affected in the next report year : * / ~� <br /> COMMENTS : <br /> GG� � - � '✓�����` � � <br /> 9. _ <br /> on <br /> ur <br /> * i Nle se show the locheioec�amat the <br /> ioncwhagh have items <br /> been comp6etedyocormePated with <br /> Indicate the phases of t <br /> 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 <br /> through 6 , then a npw­ ,ar, unnecessary. However , this must be stated above . <br /> Date : - - - <br /> Signature: — <br /> Please type or print/current c,yjtact name , Jnai1ing address , and phonre- number below: <br /> Phone : <br /> Contact Name : — <br /> Company: <br /> Address : <br /> Federal Tax ID No. or Social Security No. : -- <br />