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<br />~- • III IIIIIIIIIIIIIIII ~ <br />999 <br />Notice of Intent to Continue Mining Operations <br />110(2) Annual Report <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />Hi Valley Paving <br />M-82-033 <br />Bucky Clanch Pit* <br />10/08/94 <br />~~F~r~r=:~/~r <br />SEP 14 9995 <br />~; <br />~/~~ <br />:,a.sur~ ~. ,.,, ._,,., _ _ ..._ <br />$225.00 (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 />Do you extract MORE or LESS than 70,000 tons of mineral or <br />overburden a year? <br />2 <br />3 <br />4 <br />5 <br />6 <br />7 <br />8 <br />~v NO <br />1(~ LESS "~ <br />1~ LESS <br />1(~ NO <br />a. Backfilled: d. Topsoil replaced: <br />Graded: Average topsoil thickness <br />c. Seeded: ~'`'``~~~"""""""~~~ replaced: ~~ <br />List species seeded & seeding <br />rate for report year on back <br />Does this mine have a phased reclamation plan? <br />Permitted acreage: <br />Total-acres~ffected-during-the report year:* <br />Total acres reclaimed for the report year:* <br />Total acres in various stages of reclamation:* <br />The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:' n ~ .na-1° <br />Estimated total acres to be affected in the next report year:* <br />9. COMMENTS: <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 and you <br />previously submitted a map which correctly depicts the current acreage in items 2 <br />through 6, then w ap is unne ess r However, this must be stated above. <br />Signature: Date: ~/- / O ^. ~ V <br />~- <br />Please type or print current contact name, mailing address, and phone number below: ~ <br />i <br />Contact Name: Q`t-lt'/"-C'pL y~}7~/~„~C~. Phone: (7/9) .C~'gR'-~1/9.~ <br />Company: ~~D'/.r~~'F ~'~lYcf',7'/L/~ <br />Address: ~c~C/l ~~/~„~i= 6~./ <br />/~' <br />~0 ~at.C~~ rye 1~ <br />,~~Q <br />Federal Tax ID No. or Social Security No.. __~ L~ - / ~ ~ t/ ~ Z~ <br />