Laserfiche WebLink
- <br /> <br /> <br />Notice of Int III III III IIIIIIIIII Wing Operations <br />iivcu Nnnual Report <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />David Goss <br />M-85-140 <br />Goss Sand & Gravel* <br />01/24/93 <br />-~EC~~VE~ <br />&OU16 <br />D1VIb'IUIV Uh <br />MINERALS g uEOLO/G/Y <br />$175.00 (Due on your Anniversary Date) ~a~/U y~ <br />1. Has your mine been granted TEMPORARY CESSATION STATUS? <br />Does your mine operate MORE or LESS than 180 days per year? <br />ems, <br />2a. Financial Warranty: $~J`~DO O ~ 2b. Permitted acreage <br />3. Do you have a phased reclamation pian? <br />4. Total acres affected during the report year:' <br />5. Total acres reclaimed for the report year:• <br />~, NO ~_._ <br />MORE L~"E~~ <br />~~ <br />~YE~ NO <br />~ `~`~ <br />6. Total acres in various stages of reclamation:* <br />a. Backfilied: ^L1'~ d. Topsoil replaced: ~~~ l <br />b. Graded: -- Cr' r' Average topsoil thickness <br />replaced: •~ •-~ <br />c. Seeded: (-~~ <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:* ~'b -- <br />8. Estimated total acres to be affected in the next report year:* ~~ <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 />** NU~t: 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 ~w map ~ unney~ssary. However, you must state this fact above. <br />Signature: //C,%(/TE.//~-C~-~.,c_/ Date: <br />Please type ~r' prin't kurrent contact name, mailing ad <br />r_;.,racr Name: ~/I ~ <br />Company: ~~((.~~)(~~ ro7s//~~~ ZLQa.c,~"~wri <br />%~7 reii: CALM ~-lJ SD~y~ <br />Federal Tax ID No. or Social Security No.: <br />and ohbne number be'aw: <br />i <br />Phone: ( ) ~$3 -~y/S <br />~a~ <br />~`~~ <br />