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<br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />Notice of Intent t III IIIIIIIIIIIII'll Oaer~ations <br />11 z ,,,,,,~... 999_ _ RECEIVED <br />Base Products AUG 0 9 1995 <br />M-94-053 <br />Bas a Prod Grav P i t 1 Division of Minerals is Geology <br />09/13/95 <br />$550.00 (Due on your Anniversary Date) <br />1. a. Permitted acreage: ~~ b. County where mine is located: /Yfm7vn se <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? YES NO ~ <br />Does this mine operate MORE or LESS than 180 days per year? MORE LESS <br />3. Does this mine have a phased reclamation plan? YES NO <br />4. Total acres affected during the report year:* ~ ~C Ye S <br />,~ <br />5. Total acres reclaimed for the report year:* ~ <br />6. Total acres in various stages of reclamation:* <br />a. Backfilled: ~ d. Topsoil replaced: <br />b. Graded: / C Ye Average topsoil thickness <br />c. Seeded: replaced: <br />List species seededn& 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:* ~1L~L~„n~~~ <br />8. Estimated total acres to be affected in the next report year:* ~1c <br />9. COMMENTS: ~~/00 S 14ve eu7 a~»~ Y/I/O~Y~TQi//i!~~N o`~/ ma~vr'a/ <br />/S' YL°W1nIJP~ IYIri N(~/~Yi~PS -~1~ ~FII1G~ s~rnPS I1C <)P ~Dr dF'C'l-~ Yl~Cfl ~'/ <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 />** NQIE: 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/,rvi~ 'ur.,r Date: S'- ~- 95 <br />Please type or print current contact name, mailing address, and phone number below: j <br />Contact Name: °ry/ U ~~l1UP~~0/7Z / Phone: ~7D> 0~~9-.~D~ // <br />Company: RASP ~V'nduC/'s <br />Address: ~~.~f~4?~~~.r). ~oQa/~c~ <br />///nr17YD5~ ~eIA, R/~l/j( <br />Federal Tax ID No. or Social Securit No.: 1 ~~~ <br />