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~~~ ~~~~~~~~~~~~~~~~ M <br />. 999 <br />Notice of Intent to Contir,ue'Mining Operations <br />112 Annual Report <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date: <br />Total: <br />J, and M. Schmahl <br />t4-84-001 RE <br />Surface Rock Pit <br />04/04/91 <br />5350.00 iDue on your Anniversary Date <br />Has your mine been granted TEMPORARY CESSATION STATUS? <br />Does your mine operate MORE or LESS than 180 days per year? <br />2. Total acres affected during the report year:* <br />3. Total acres reclaimed for the report year:* <br />ECEIVED <br />APR 0 1 1gg~ <br />Mined Land <br />amation Division <br />YES NO <br />MORE LESS <br /> <br />4. Total acres in various stages of reclamation:* <br />a. Backfilled: D d. Topsoil replace <br />b. Graded: d Average topsoil thickness <br />replaced: <br />c. Seeded: ~~~ <br />List species seeded & seeding <br />rate for report year on back <br />5. The type and approximate quantity of fertilizers, organic mate ial or soil <br />conditioners used for the report year:* yi„v P. <br />6. Estimated total acres to be affected in the next report year:* GG~Ii/~w/~ <br />7. COMMENTS: ~~iNiN~ ~Cfil~if Cfe~oC,y~r o,t/,Slle$, ~~Xi ?~ S DT ~N2 <br /> <br />'D'Oe iriai' B <br />* Please show the location of the acreage for items 2 - 6 on your map**. <br />Indicate the phases of the reclamation which have been complete correlated <br />with your timetable. <br />NOTE: If there have not been any changes since the last annual re ort and <br />you previously suhmitted a map which correctly depicts the current acreage in <br />items 2 through 6, then a new map is unnecessary. However, you mu t state this <br />fact above. <br />r -; .~ ~' <br />Signature: (~„_,.i:~/ /,~,.,lrY;~~t: Date: j' - <br />Please typ~ or print current contact name, address, and phone <br />Contact Name: ~/.f,~ ~ ~S'L,j~r~ ~~r•! Phope: <br />Company: /~fi'~Jf/ /'%J:,~i l ~~ <br />Address: ~3d/ /t1,~Y~'/? ~d. ~ <br />G~3 ~ tid J~ tic I ~~N) ~:~/O. ~5 /S:%.~ <br />Federal Tax ID No. or Social Security No.: .j'1.' ~'- <br />9/ <br />umbe below: / <br />1 .~ p: ` ~ ~ ~ fa ,tom/ <br />~c~~ <br />~ ~ ~~ <br />