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• <br /> Notice of Intent to Continue Mining Operations R E C EIV Er` <br /> 112 Annual Report <br /> Permittee Name: Corn Construction Company * r <br /> Permit No: M-83-013 ( 3 <br /> Operation Name: Lathaiu - Burkett Pit Dr <br /> Anniversary Date: 04/28/94 >> <br /> Total : $550.00 (Due on your Anniversary Date) <br /> 1 . Has this mine been granted TEMPORARY CESSATION STATUS? YES NO <br /> Does this mine operate MORE or LESS than 180 days per year? MORE LES <br /> 2a. Financial Warranty: $ 0 2b. Permitted acreage: <br /> 3. Does this mine have a phased reclamation plan? YES NO <br /> 4. Total acres affected during the report year:* <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: Average topsoil thickness <br /> c. Seeded: <br /> replaced: <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:* <br /> 8. Estimated total acres to be affected in the next report year: * <br /> 9. COMMENTS: Jdlel 4t~ S96GlC/�iAs, lVd dX4r,� r <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 /> ** NOTE: If there have not been any changes since the last annual report <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: / Date : .el2 - 7y <br /> Please type or print current contact name, mailingiaddress, and phone number belo <br /> Contact Name: Ei✓/✓iS M, ►ri'P7Z.fryo� Phone: (303 )V- <br /> Company: ra e t/ S C/.O <br /> Address : 0• �?aX /2-1/0 <br /> ogmyo TG 714 ,S3 L b\� <br /> Py e <br /> Federal Tax ID No. or Social Security No. : r3 — D '9 7 � <br /> 7�Z <br />