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~ <br />IIIIIIIIIIIIIIIIIII ° _ ..,: <br />Notice of Intent to Continue Mining Operations <br />110(2) Annual Report <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />~, ~sUG 291994 <br />John Dillon <br />M-86-165 <br />Willow Bend* " ""~.Y <br />08/27/94 <br />$225.00 (Due on your Anniversary Date) <br />1. Has this mine been granted TEMPORARY CESSATION STATUS? ES NO <br />Does this mine operate MORE or LESS than 180 days per year? ORE ES <br />2a. Financial Warranty: $ ~, ADO °m 2b. Permitted acreage: _ Q <br />3. Does this mine have a phased reclamation plan? ES NO <br />4. Total acres affected during the report year:* '~ <br />5. Total acres reclaimed for the report year:* i - ~ ~- <br />6. Total acres in various stages of reclamation:* <br />a. Backfilled: ~--r9 -- d. Topsoil replaced: - -~' <br />b. Graded: - ~ --~ Average topsoil thi kness <br />replaced: <br />c. Seeded: _-~ ---~ <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. COMMENTS: ' <br />I <br />* Please show the location of the acreage for items <br />Indicate the phases of the reclamation which have been <br />your TTtimetable. <br />** N~IE: If there have not been any changes since the <br />previously submitted a map which correctly depicts the <br />through 6, then a new map is unnecessary. However, th <br />Signature: ~ , Date: <br />~~-„_ <br />Please type or prin~t-cu/r rent contact name, mailing address, and ph <br />Contact Name: ~IANIIJ/ ~Z(y ~ Phone: (3m~ <br />Company: S',4 i6(t3~ ,~2/l°. <br />Address: ~~~~~ !~7 ~ <br />Federal lax ID No. or Social Security No.: <br />4 - 6 on your ap** <br />completed, cor elated with <br />last annual report and you <br />current acreage in items 2 <br />is must be stated above. <br />number below:_ I <br />~7 -l3D~ <br />I <br />~~ <br />ti <br />- S~~ <br />