REP08957

• Permit No: M1979221
• IBM Index Class Name: Report
• Doc Date: 6/1/1994
• Doc Name: 112 ANNUAL FEE INVOICE AND REPORT REQUEST
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

. .

Permittee Name:
Permit No:
Operation Name:
Anniversary Date
Total:
Notice of Intent'to Continue Mining Operations qUb, '
112 Annual Report 26' ~M_
Robinson Brick Company D~vis~OR01.h ~¢
U t e 9M i n e (~~,-n~ral S$ G~0%9
08/26/94 IC~JI-C~ b~7~
$550.00 (Due on your Anniversary Date>
1. Has this mine been granted TEMPORARY CESSATION STATUS?
Does this mine operate MORpE or LESS than 180 days per year?
2a. Financial Warranty: $ 3 I,~~~ 2b. Permitted acreage
3. Does this mine have a phased reclamation plan?
4. Total acres affected during the report year:*
5. Total acres reclaimed for th e report year:*
YES ~ `~
MORE LESS
ICI"76
ES NO
O
6. Total acres in various stages of reclamation:*
a. Backfilled: ~~ d. Topsoil replaced:
b. Graded: L]- Average topsoil thick ness
c. Seeded: L~ replaced: $"
List species seeded & seeding
rate for report year on back
7. The type and approximate quantity of fertilizers, organic material or soil
conditioners used for the report year :* -

* 1, ,{
4
8. Estimated total acres to be affected in the next report year: _J
9. COMMENTS:

* 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.
** N~IE: 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 ne map is unnecessary. However, you must state this fact above.
%%JJ``~~ ~ Z
Signature: %=Z~~.~~/~ Date: ~ ~/`~
Please type or print curr~e`nt contact name, m~Tling address, and phone number belq~i:
Contact Name: MuH~kE~.~.IC'IDZGH P_~~/ Phone: (30~ > J~~" c1C~Z ~
Company: ~C~nJScy/ a/Lrc.'; Cam.
Address: ~.Q. 3ox 523
Deb /G2 , co Sot i 71,~`,'p~~/ ~
ti~
Federal Tax ID No. or Social Security No.: QOv