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III IIIIIIIIIIIIIIII • R~C;ERv~: . 999 ., ' Notice of Intent to Continue Mining Operations 112 Annual Report ~ D~G $ 992 Permittee Name: Broderick & Gibbons Divia~uw ur Permi t No: M-81-307 t:nINERALS n ;;EU~~~GY Operation Name: Fountain Pit* Anniversary Date: 12/03/92 Total: $490.00 (Due on your Anniversary Date) 1. Has your mine been granted TEMPORARY CESSATION STATUS? YES NO Does your mine operate MORE or LESS than 180 days per year? OR LESS •~ 2a. Financial Warranty: $ 5/~.SD~ 2b. Permitted acreage: IpDS. Qi 3. Do you have a phased reclamation plan? ES NO ~I 4. Total acres affected during the report year:* ICJ ~ 5. Total acres reclaimed for the report year:* 6. Total acres in various stages of reclamation:* a. Backfilled: U d. Topsoil replaced: Q b. Graded: D Average topsoil thickness c. Seeded: ~ replaced: /VA List species seeded & seeding rate for report year on back 7. The type and approximate quantity of fertilizers, organic material or soil conditioners used for the report year:* ll/d/11~. 8. Estimated total acres to be affected in the next report year:* /Q 9. COMMENTS: * Please show the location of the acreage for items 4 - 6 on your map'*. Indicate the phases of the reclamation which have been completed, correlated with your timetable. *' NOTE: If there have not been any changes since the last annual report and you previously submitted a map which correctly depicts the current acreage in items 2 through 6, then a new map is unnecessary. However, you must state this fact above. Signature: (~/(`7yJ/}-Q_~4,Q/~ Please type or print current contact name, Date: /2-2,-92 mailing a~; and phone number below: Contact Name: 4Iu.I,e. GD~f~t'7n/l~//~~ Phone: (3Q3) ~Z/o""/~~~ Company: ~rGL'~KC,/e. ~ ~7/6b0715 Address: f~0 ~30>C 2/5A~ ,~P/11~~Y ~ ~,Z.Z-/ ~~ 1a~' Federal Tax ID No. or Social Security No.: ZS-f3~35Z~j~ i'(}