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II IIIIIIIIIIIII III ~~ <br />Notice of Intent t., .,.,,.,999 ,,~,,,,,y Operations <br />110(2) Annual Report <br /> <br />Permittee Name: John Dillon <br />Permit No: M-86-165 <br />Operation Name: Willow Bend* <br />Anniversary Date: 08/27/95 <br />Total: $225.00 (Due on your Anniversary Date) <br />1. a. Permitted acreage: 5 .q b. County where mine is locat <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? <br />Does this mine operate MORE or LESS than 180 days per year? <br />Do you extract MORE or LESS than 70,000 tons of mineral or <br />overburden a year? <br />3 <br />4 <br />5 <br />6 <br />7 <br />8 <br />:i~o~ ~4` 10351 <br />RE(;EiVED <br />AlJG 21 1995 <br />of Minerals 8 Geology <br />I~ <br />IES NO / <br />40RE LESS <br />MORE <br />LESS <br />NO <br />Does this mine have a phased reclamation plan? YES <br />Total acres affected during the report year:* _ <br />Total acres reclaimed for the report year:* ~ - <br />Total acres in various stages of reclamation:* <br />a. Backfilled: - O - d. Topsoil replaced: © - <br />b. Graded: - © - Average topsoil thi kness <br />replaced: - O <br />c. Seeded: - O <br />List species seeded & seeding <br />rate for report year on back <br />The type and approximate quantity of fertilizers, organic mater <br />conditioners used for the report year:* - p <br />Estimated total acres to be affected in the next report year:* <br />9. COMMENTS: <br />* Please show the location of the acreage for items 4 - 6 on your <br />Indicate the phases of the reclamation which have been completed, co <br />your timetable. <br />** NOTE: If there e not bee any changes since the last annual r <br />previously submitte a map whit F ectly depicts the current acrea <br />through 6, then a n map iy ry. However, this must be sta <br />Signature: LWl Dat I ~ <br />Please type or print current contact name, mailing address, and phon <br />Contact Name: ~a~~~~ -~~LLt,r~ '~ Phone: ( 7 > <br />Company: SA~f1C~ CO Z Y1 C_ <br />Address: ~ O ~ o N X14 y O <br />~ n C°_ O 4'S I ~U ~ <br />Federal Tax ID No. or Social Security No. <br />or soil <br />S <br />ap** <br />elated with <br />ort and you <br />in items 2 <br />d above. <br />9~ <br />number below: <br />y 7- J'~U~ <br />I <br />