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~ ~~~~~~ L~- <br />Notice of Ir III III III IIIIIIIIII lining Operations 4QR 1 0 1991 <br />110(2) Annual Report <br />Permittee Name: Summit Brick & Tile Mined Land <br />Permi t No: M-85-203 ~.,~'--.,,fin,. ~'"~ <br />Operation Name: Edmundson Clay Mine* <br />Anniversary Date: 05/09/92 <br />Total: $120.00 (Due on your Anniversary Dat{e) <br />1. Has your mine been granted TEMPORARY CESSATION STATUS? I YES ~ / <br />Does your mine operate MORE or LESS than 180 days per year? MORE SS~ V <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: n~Pz~ d. Topsoil replace ~~~~2. <br />b. Graded: /~~ Average topsoil thickness <br />c. Seeded: ',~y~.e, replaced: <br />List species seeded & seeding <br />rate for report year on back <br />5. The type and approximate quantity of fertilizers, organ'c material or soil <br />conditioners used for the report year:* <br />6. Estimated total acres to be affected in the next report year:* ~ /7 <br />7. COMMENTS: ~'1~ Ode f'19 /S ST/~-L CLJ/1/~TL~ <br />* Please show the location of the acreage for items 2 - 6 on your map**. Indicate <br />the phases of the reclamation which have been completed, correl ted with your <br />timetable. <br />N01E: If there have not been any changes since the last annual <br />previously submitted a map which correctly depicts the current a <br />through 6, then a new map is unnecessary. However, you must sta <br />Signature: ° ` ' ~~ Date: 3 - 3 <br />Please type or in/t current contact name, mailing address, and <br />Contact Name: JoSEO/~ G V~~E~ T~ Phone: ( /' <br />Company: Sy/YI l'Yl l 'T BPI ~l~ ~ 7`i ~E Co, / <br />Address: ,~, f~ ~ /~ o X 5.33 <br />DJE/~c-o , co ~looa -os33 <br />Federal Tax ID No. or Social Security No.: <br />ort and you <br />age in items 2 <br />this fact above. <br />ne number below: / <br />Sy L - ~ ~ 7g ,1 <br />~~ <br />~\`~ <br />