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~ III IIIIIIIIIIIIIIII` <br />} `. Notice of Intent to Cont#rwe Mining Operations ~ E C E I V E <br />110121 Annual ReoOrt <br />Permittee Name: Tezak Construction Company APR 0 3 ~gg~ <br />Permit No: M-81-080 Mined Land <br />Operation Name: Tezak No 2 Pi t Reclamation <br />Anniversary Date: 05/27/91 Division <br />Total: L50.00 (Due on your Anniversary Datel <br />1. Has your mine been granted TEMPORARY CESSATION STATUS? YES NO <br />Does your mine operate MORE or LESS than 180 days per year? MORE LES <br />2. Total acres affected during the report year:* <br />3. Total acres reclaimed for the report year:* <br />4. Total acres in various stages of reclamation:* <br />a. Backfilled: d. <br />b. Graded: <br />c. Seeded: <br />List species seeded & seeding <br />rate for report year on back <br />Topsoil replaced: <br />Average topsoil thickness <br />replaced: <br />5. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* <br />6. Estimated total acres to be affected in the next report year:* <br />7. COMMENTS: No'~Inin.a ~ S 17ec ~l ~'~~an.au4 Sinict. ~hr. <br />* Please show the location of the acreage for items 2 - 6 on your map**. <br />Indicate the phases of the reclamation which have been completed, correlated <br />with your timetable. <br />NOTE: If there have not been any changes since the last annual report and <br />you previously submitted a map which Correctly depicts the current acreage in <br />items 2 through 6, then a new map is unnecessary. However, you must state this <br />fact above. <br />Signature: ~,~~ ~. ~/gu,~ Date: __3_/off-r'// ~~ <br />Please type or print current contact name, address, and phone number below: <br />Contact Name: f~//(e, ~~,/~/C Phone: ~9 1 o2~-s ~~/~ <br />Company: TezA~ Sfo:~~ ,~N~_i9a~, <br />Address: (~, olp0 ~'~H:..f~~D. ,~ 1 <br />~~X/i5 (/~lac.~~ Go, x/3,5'0 ~~\ <br />Federal Tax ID No. or Social Security No.: $ 1 - I I I - ~ ~~~ \~~ <br />~\ <br />