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_ <br />' ~ III III III III IIII III • <br /> <br />! C p pp <br />4 <br />~ ,i: <br />e~~ <br />~ h <br /> - <br />A <br />- <br />Notice of Intent to Continue Mining Operations <br />112 Annual Report DEC 1 6 1991 <br />Permittee Name: Brannan Sand & Gravel Company Mined Land <br />Permi t No: M-80-183 ~^^'2~ati0n r~„~. <br />Operation Name: Pit 29 <br />Anniversary Date: 01/08/92 <br />Total: $430.00 (Due on your Anniversary Date) ~ g ~J(~ (a <br />1. Has your mine been granted TEMPORARY CESSATION STATUS? YES NO <br />Does your mine operate MORE or LESS than 180 days per year? MORE LESS <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: d. Topsoil replaced : <br />b. Graded: Average topsoil thickness <br />c. Seeded: replaced: <br />List species seeded & seeding <br />rate for report year on back <br />5. The type and approximate quantity of fertilizers, organic mate rial or soil <br />conditioners used for the report year:' <br />6. Estimated total acres to be affected in the next report year:' <br />7. 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 />NOIE: 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 />Signature: <br />Date: <br />Please type or print current contact name, address, and phone number below: <br />Contact Name: <br />Company: <br />Address: <br />Federal Tax ID No. or Social Security No.: <br />Phone: ( ) <br />~~a~ <br />~~ ~\~D <br />