REP05942

• Permit No: M1990106
• IBM Index Class Name: Report
• Doc Date: 11/1/1999
• Doc Name: NOTICE OF INTENT OPERATIONS 110 C CONSTRUCTION MATERIALS ANNUAL REPORT
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

Pe_-mittee Name:
Permit No.
Operation Name:
Anniversary Date
Total:
1
2
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IIIIIIIIIII ~
III
Notice of Intent __
llOc Construction Materials II3 Oper ti
Annual 4e
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a. Permitted a~eage: !-. / b. County where mine is located:
Has t:.is mine been granted TES?OP.A.R`! CESSa'_'I ON STA"_'US?
Does tais mi__^-e overate MOP= or LESS than 180 days per year?
Does tais mine have a phased reclamation plan?
Total acres affected during the report year:`
Total acres reclaimed for the report year:
Total number of acres is topsoil replacement stage:
a. Average thiciczess of topsoil replaced:
Total number of acres seeded: _
a. list species seeded & seeding race for r=_port year on back
For r_on-phased ooeratcor_s provide daces extraction ceased:
a. Date reclamation began:
DECEIVED
NOV O 1 1999
;nm of Minerals & Geab9Y
L'~S NO
MOPE L sS
`!.'S NO
The type and approximate cuantity of fertilizers, orcanic material or soil
conditioners used for the report year:
1D. _stimated tp~a'_ acres ~o be aF~ectzd.i- the. next
'1. COMSTZ'iamc;
' Please fsEzoJr~cne locattor. of tae acreage for terns 4 - 6 er_ your -.p*-.
Indicate the phases of tae __clamation which have been completed, correlated wit__
your Timetable. For phase3'operations show dates extraction ceased and dates
reclamation began.
`* NOTE: If there have not Seen any chances since the last z-usual repcrt and you
previously submitted a map which correctly flepicts the current acreage __=_ns 2
ta=ougn,6,- ~ a new map is unnecessa^~. However, this must b
e
stated ab
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ve.
Signature: - ~-~/1' l!
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Date: /y I.o20 /
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Contact Name: /
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FAX NO : ~/~~I ' 7
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Adaress: 3~~

Federal Tax ID No. or Social Security No.: ~~~ `~ ~ ~ ! ( ~~
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