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otice of Intent to Continue dining Operations <br />112 Annul Report <br />Permittee Name: Sand Creek Farms Inc ~Fr;f=.~/C~; <br />Permit No: M-92-038 <br />Operation Name: Sand Creek Mine SEP 13199 <br />Anniversary Date: 09/01/44 <br />Total: $550.00 (Due on your' Anniversary Date) <br />1. Has this mine been granted TEMPORARY CESSATION STATUS? YES <br />Does this mine operate MORE or LESS than 180 days per year? MORE ~ ~_ <br />2. Does this mine have a phased reclamation plan? YES NO <br />3. Permitted acreage: <br />4. Total acres affected during the report year:* ~ a <br />5. Total acres reclaimed for the report year:* ('~ <br />6. Total acres in various stages of reclamation:* <br />a. Backfilled: -Q- d. Topsoil replaced: n <br />b. Graded: Q Average topsoil thickness <br />c. Seeded: A replaced: ~_ <br />List species seeded & seeding <br />rate for report year on back <br />7. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* h <br />8. Estimated total acres to be affected in the next report year:* T <br />9. COMMENTS: <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. <br />** NOTE: If there have not been any changes since the last annual report and you <br />preciously submitted a map which correctly depicts the current acreage in items 2 <br />th,'ough 6, then a new map is ecnessary. However, you must state this fact above. <br />Signature: .',/'_ Date: ~^~` ~y <br />Please type or prin Curren contact name, mailing~ad"dress, and phone number below: <br />Contact Name: ~~'~'~--/" Phone: (,3f~) 62~ ~yQ/ <br />Company: `~1 ~h,eeLC l-ahr~S <br />Address: C~0.,i~?Y ~.~.Le ~',o.`~ <br />~_ ~ QOl e 3 <br />Federal Tax ID No. or Social Security No.: y _ / ~ ~o ~~ 7 y 9 <br />~' p_--_T ~ ~e ~ <br />~Q 2 <br />s <br />