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. <br />0 <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />1. <br />2a <br />3. <br />4. <br />5. <br />6. <br />7 <br />8 <br />9. <br />• ii iii iii iii iiii ih i ~ <br />999 <br />RF <br />• <br />Notice of Intent to ConttnUe Mining Operations C ~ <br />~~/~/~ <br />112 Annual Report AP <br /> R <br />1 <br /> ~ 7gg4 <br />Jake Kauffman & Sons Inc ~~.:. ;; <br />M-76-327 ~., ~` I'•.i,7~y <br />, <br /> <br />Kauffman Pit ~ <br />: <br />• c~`., <br /> <br />05/14/94 . <br />"'~"' <br />$550.00 (Due on your Anniversary Date> <br />Has this mine been granted TEMPORARY CESSATION STATUS? YES NO ,~-- <br />Does this mine operate MORE or LESS than 180 days per year? MORE SS <br />Financial Warranty: $ / 7 S~ 2b. Permitted acreage: $~ S <br /> <br />Does this <br />l mine have a phased reclamation plan~//? A ~ ~o~ <br />5 <br />' <br />' `Q NO <br />- <br />Tota <br />acr es affected during the report ye (usE ~~ <br />ar: <br />P G-9 -- <br />Total acr es reclaimed for the report year :* ~^' / 99 3 -O <br />b. Graded: J Average topsoil thickness <br />c. Seeded: `- replaced: - <br />List species seeded & seeding <br />rate for report year on back <br />Total acres in various stages of reclamation:* <br />a. Backfilled: d. Topsoil replaced: "'^ <br />The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* •- <br />* Please show the location of the acreage for items <br />Indicate the phases of the reclamation which have been <br />your timetable. <br />** NOTE: 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, yo <br />4 - 6 on your map**. <br />completed, correlated with <br />last annual report and you <br />current acreage in items 2 <br />~ must state this fact above <br />Signature: G~ Date: ~/-~`J 9y <br />Please type or print current contact name, mailin.g~address, and phone number below: / <br />Contact Name: jy/,g,~i~ ~y~~jy,g,(/ / <br />Company: ~.~ ~uFfi~iaiv 9'.SoN ~ ~ <br />Address: ~o~ Sc,~ 9/y~ <br />~D/lP ~--.r~d~ C.:G ~653~ <br />Federal Tax ID No. or Social Security No.: `~ ~/ - d S~ 4 ]/y <br />Phone: (-3~'3) (P(o7--/~-S~ <br />a'' ~ <br />*Q~ <br />Estimated total acres to be affected in the next report year:* <br />