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~ • III IIIIII III IIII III <br />RELEIV,E~, <br />Notice of Intent to Continue Mining Operations <br />110(2) Annual Report JUN 2 8 )aa] <br />Permittee Name: Charles Devereaux Mined Land <br />Permit No: M-78-221 _. Reclamation Division <br />Operation Name: K-bar-t Pit ~_ <br />Anniversary Date: 08/23/91 <br />Total: 5120.00 (Due on your Anniversary Date) <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. <br />b. Graded: <br />c. Seeded: <br />List species seeded & seeding <br />rate for report year on back <br />5 <br />Topsoil replaced: <br />Average topsoil thickness <br />replaced: <br />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 <br />7. COMMENTS: <br /> <br />v <br />* Please show the location of t e 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: ~~~~i~rZ~-c~~ Date: ~ ~J ~ ~/ <br />Please type or print current contact name, address, and phone number below: <br />Contact Name: <br />Company: <br />Address: <br />hone: (3U3) 878- 58'3 V <br />~' / <br />V <br />~C!" <br />Federal Tax ID No. or Social Security No.: ~~ ~ a - oZ(~- 7~~3 <br />~~,ql <br />affected in the next report year:* <br />