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J <br />~ .~Ta <br />Notice of Intent to Continue Mining Operations SEP 2 3 1991 <br />112 Annual Report Mined Land <br />Permittee Name: Andesite Rock Company Reclamation Division <br />Permit No: M-88-048 ~/ L <br />Operation Name: Carr Gravel Resource (~ljlG /7 <br />Anniversary Date: 09/22/91 ~ ~~ 83~ <br />Total: b430.00 (Due on your Anniversary Date) <br />E..x ~Se d <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 LESS <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. Topsoil replaced: <br />b. Graded: Average topsoil thickness <br />c. Seeded: replaced: <br />List species seemed-& seeding <br />rate for report year on back <br />5. The type and approximate au antity 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. <br />* <br />Signature: ~~~ Date: 9 <br />Please type or print current contact name, address, and phone number below: <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 />Contact Name: <br />Company: <br />Address: <br />Federal Tax ID No. or Social Security No.: ~~--oa~9~o/ <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 />