REP04564

• Permit No: M1977094
• IBM Index Class Name: Report
• Doc Date: 12/21/1994
• Doc Name: NOTICE OF INTENT TO CONTINUE MINING OPERATIONS 112 ANNUAL REPORT
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

ii iiiiiiiiiiiii iii
1
Permittee Name:
Permit No:
Operation Name:
Anniversary Date
Total:
2
3.
4.
5.
6.
7
8
9.
Notice of Intent to ~riYinue Mining Operations
112 Annual Report
Morgan Sand and Gravel
M-77-094
Westhoff Pit*
12/20/94
~~ECEIVE~>
dEC 2 ~ 19g¢
Divigjpn pl4'1l~@rdlS C Ge01p9Y
$550.00 (Due on your Anniversary Date)
a. Permitted acreage: ~_ b. County where mine is located:
Has this mine been granted TEMPORARY CESSATION STATUS? YES NO
Does this mine operate MORE or LESS than 180 days per year? MORE ES
Does this mine have a phased reclamation plan? YES NO
Total acres affected during the repor_t_year:* _ _ ~ lwtitlG
Total acres reclaimed for the report year:* d
Total acres in various stages of reclamation:*
a. Backfilled: d. Topsoil replaced:
b. Graded: Average topsoil thickness
c. Seeded: replaced:
List species seeded & seeding
rate for report year on back
The type and approximate quantity of fertilizers, organic material or soil
conditioners used for the report year:*
* Please show the location of the acreage for items 4 - 6 on your map**.
Indicate the phases of the reclamation which have been completed, correlated with
your timetable.
** NQIE: If there have not been any changes since the last annual report and you
previously submitted a map which correctly depicts the current acreage in items 2
through 6, then a n w map unnec ss ry. However, you must state this fact above.
Signature: Date: /~ //~- ~~
Please type or print current contact name, mailin ddress, and phone number below: /
Contact Name: Phone: (30~) ~Fj7-~07 v/
Company: >r
Address: ~.~
Federal Tax ID No. or Social Security No.: _ d 7-a~t~~0 v1~ ~ „~' `~
1~
Estimated total acres to be affected in the next report year:*