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, <br />~ III IIIIIIIIIIIII III ~ <br /> <br />Permittee Name: <br />Permit No. . <br />Operation Name: <br />Anniversary Date: <br />Total: <br />Notice of Intent to Continue Mining Operations <br />110c Construction Materials Annual Report~gAN 2 Z 1996 <br />M190a14Sunty ~AC 13~~ <br />Gray Pit* r . ;,~~: c. Vd'J.JJ} <br />February O5, 1997 <br />$225.00 (Due on your Anniversary Date) <br />1. a. Permitted acreage: b. County where mine is located: ~p u !~ <br />2. 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 />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 />5. Total rsmber cf acres in topsoil rcplacerneut stage: <br /> a. Average thickness of topsoil replaced: l~ <br />7. Total number of acres seeded: ~~ <br /> a. List species seeded & seeding rate for report year on back <br />8. For non-phased operations provide dates extraction ceased: <br /> a. Date reclamation began: <br />9. The type and approximate quantity of fertilizers, organic material or soil <br /> conditioners used for the report year:* <br />10. Estimated total acres to be affected in the next report year:* / <br />11. cor~HENTS: r/~E~E hll5 ~ t ~ /~ ~9C G ff119/t5 Si/ILE 1 S~ <br />~= P~~'7' <br />* Ple.sse 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. For phased operations show dates extraction ceased and dates <br />reclamation began. <br />** NOTB: If there have not been any changes since the last annual report and you <br />previousl}' submitted a map which correctly depicts the current acreage in items 2 <br />through 6, then a new map is unnecessary. However, this must be stated above. <br />Signature: ~Lr ~ ~~~v Date: l,~ "Z7 - %~ <br />Please type or print urrent conta t name, mailing address <br />Contact Name: <br />Company: KIOINA COIWiY COA~YlSSIONERC <br />Address: PO' ~%~1 <br />Phone <br />and phone number bppelow: <br />r~ `, O <br />FAX NO: ( /~ ) '7 3 ~ ~'L <br />Federal Tax ID No. or Social Security No.: ~~ D n OZ7 <br />