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<br />:, <br />Notice of Intent to Continue Mining Operations <br />110(2) Annual Report <br />Permittee Name: Ron Ebberts R F(^ FIVE D <br />Permit No: M-80-038 <br />Operation Name: Disappointment Valle SEP 2 0 1995 <br />Anniversary Date: 10!01/95 <br />Total: $225.00 (Due on your Anniversary Dat~ivisionorM~neraistsGeology <br />1. a. Permitted acreage: b. County where mine is located: ;y,~,.Q <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? YES NO <br />Does this mine operate MORE or LESS than 180 days per year? MORE LESS <br />Do you extract MORE or LESS than 70,000 tons of mineral or <br />overburden a year? MORE LESS <br />3. Does this mine have a phased reclamation plan? YES NO <br />4. Total acres affected during the report year:* <br />5. Total acres reclaimed for the report year:* <br />6. 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 />7. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* <br />8. Estimated total acres to be affected in the next report year:* <br />9. COM~TS: ~~~ ~~,~~'~~~ ,iii. !9~_i _ ~, <br />.~ <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. <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 new map is unnecessary. However, this must be stated above. <br />Signature: ~~_~j t./-~G,Iz Date: <br />Please type or prin/t~current contact name, mailing address, and phone number below <br />Contact Name: (~~ ~~~T ~ Phone: (~O ) ~ ] 7- ~y7~ <br />Company: ~~..~ ~ .`,~~~; <br />Address: l3af ~1.~0 <br /> <br />Federal Tax ID No. or Social Security No.: S~ I- ~L - 9 L /~~ <br />