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ii iiiiiiiiuiii iii <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />• <br />• <br />Notice of Intent to, Continue Mining Operations ~~ ;'"~~` ;~ <br />112 Annual Report <br />Dorn Ready-Mix Corp OCR ~ ~ 1991 <br />M-74-092 ~~~ r • _~. <br />Barlow Pit* IJIINtn4i c r, <br />10/31/92 <br />$490.00 (Due on your Anniversary Date) <br />1. Has your mine been granted TEMPORARY CESSATION STATUS? YES 10 / <br />Does your mine operate MORE or LESS than 180 days per year? MORE ES <br />2a. Financial Warranty: $ 2b. Permitted acreage: ~/O <br />3. Do you have a phased reclamation plan? YES <br />4. Total acres affected during the report year:* Z 3 <br />5. Total acres reclaimed for the report year:* <br />6. Total acres in various stages of reclamation:* <br />a. Backfilled: 2 S ~c r e~ d. Topsoil replaced: <br />b. Graded: Average topsoil thickness <br />c. Seeded: 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:* <br />8. Estimated total acres to be affected in the next report year:* . 1 S <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 />** NOIE: If there have not been any changes since the last annual report and you <br />previously submitted a map which correctly depicts the current acreage in items 2 <br />through 6, then a new map is unnecessary. However, you must state this fact above. <br />Signature: ' ~z-cd.~ Date: /C~- 7- r'z <br />Please type or print current contact name, mailing address, and phone number below] <br />Contact Name: ~ Phone: ~y_-f>y~7-.z~ ~ ~ <br />Company: Do rn[ ~Pa~~., n-, • x <br />Address: /3~,,~ ~ -~~, <br />Federal Tax ID No. or Social Security No.: $~/- D 6.Z S' .5'S'/ o ~~l~~ <br />