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a{~C~~ <br /> ~~~ ~~~~~~~~~~~ ~~~~~ ~ ~~ n lays <br /> 999 <br /> N otice of Intent to Cont inue Mining Operations <br />,v ED <br /> 112c Construction Materials Annual ReportaE <br />GE <br />Permittee Name: Asphalt Paving Company / ~91 <br />Permit No. M-83-089 Nn~ <br />Operation Name: Tomah Site <br />Anniversary Date: November O8, 1997 Geo19QY <br />~ <br />Total: $550.00 (Due on your Anniversary ,Da~j{1e~B16 <br /> <br />1. a. <br />Permitted <br />acreage: // <br />(°(~.~b. DiviB~on <br />County where mine is located:~L,~~~.5 <br />2. Has this mine been gra nted TEMPORARY CESSATION STATUS? YES <br />Does this mine operate MORE or LESS Chan 180 days per year? <br />3. Does this mine have a phased reclamation plan? <br />4. Total acres affected during the report year:` <br />5. Total acres reclaimed for Che report year:* <br />6. Total number of acres in topsoil replacement stage: <br />a. Average thickness of topsoil replaced: <br />i. <br />8. <br />9. <br />10 <br />11 <br />Total number of acres seeded: <br />a. List species seeded & seedin rate for report year/won bacK <br />For non-phased operations provide dates extraction ceased: ~fi/~ <br />a. Date reclamation began: <br />The type and approximate quantity of fertilizers, organic material oTTr soTlial or soil <br />conditioners used for the report year:` ~ <br />Estimated total acres to be affected in the e,:t repor~€az:r/ G Q <br />COMMENTS: /~/.f-.~0,~ <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. For phased operations show dates extraction ceased and dates <br />reclamation began. <br />`* NOTE: If there have not been any changes since the last annual report and you <br />previously submitted a map which rrectly depicts the current acreage in items 2 <br />through 6, then a new map is un ec ssary. However, this must be stated ove. <br />Signature: Date: <br />Please typ r print current c~Eact name, mailing address, and phone number Belo/w: <br />Contact Name: ~ri.Ne._, a ~~eir+/,J.So~~ Phone: d~.3 I~?/~~~v~o ~// <br />%/~ / /G/ f~ //~ FAX NO: ~'~ '3 1~ ~`~ ~~( <br />Company: ~/~~~J.l~~Fl /,~~~i/C~l',/i_.~-r , /J <br />Address: ~'~~>~.~Lifi ~f-yJJ~if~~ <br />Federal Tax ID No. or Social Security No.: G 7 J G.s-~~O`S~ <br />~@ <br /> <br />