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<br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />~ III IIIIIIIIIIIII III . ~ . R . <br />Notice of Inte~._ 999 ing Operations Fr!Cr~r.,~ <br />112 Annual Report JUN '~~- <br />James N Maxwell Civr~ '~199q <br />0681p/Ogq Quarry* '0~er+~9iner~jS~~~o~bJY <br />5550.00 (Due on your Anniversary Date) <br />1. Has this mine been granted TEMPORARY CESSATION STATUS? <br />Does this mine operate MORE or LESS than 180 days per year? <br />2a <br />3. <br />4. <br />5. <br />Financial Warranty: _s ~ ~7, ~ 2b. Permitted acreage: <br />Does this mine have a phased reclamation plan? <br />Total acres affected during the report year:* <br />Total acres reclaimed for the report year:* <br />YES NO ~ <br />MORE LESS-'~-- <br />YES NO <br />6. 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 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: ~ C l-FA n~rS - N ~ /~A~ (~ <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 TTtimetable. <br />** NOIE: 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: Date: <br />Please type or print current contact name, mailing address, and phone number below: <br />Contact Name: ~Ar.-~ Phone: ~~3 > $~^ ~S ~ 3 <br />Company: <br />Address: <br />federal Tax ID No. or Social Security No.: <br />3~~~ <br />~'~.~-~ ~ ~-3646 ~~ <br />