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M • • IIIIIIIIIIIIIIIIIII <br />Notice of Intent to Continue Mining Operations <br />112 Annual Report <br />Permittee Name: Asphalt Gravel Products Inc RECEIVEQ <br />Permit No: M-78-271 <br />operation Name: Garrett Pit* NOV 0 4 1994 <br />Anniversary Date: 10/30/94 <br />Total: $550.00 (Due on your Anniversary Date) <br />Division of Minerals & Geology <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 LESS <br />2. Does this mine have a pha~sied reclamation plan? YES NO <br />3. Permitted acreage: p <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: 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 <br />9. <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 a new ma is((~~unnecessary. However, you must s/tate his fact above. <br />Signature: .~ ~J, ~s~~a Date: /D 131 ~Q~ <br />Please ty or p int current contac`t` na ma'ling address, and phone number below: <br />~, I / <br />Contact Name: `~ON~, `- Vin-r[~6~=c-c~.f Phone: ( 7lQ) SBJ-~%D 3r <br />Company: ~} S plea I°k (gv ~~6 ~ ~vew,,~e~ -1 ti <br />Address: f I7 (,c~~t~~~ Pin~6 dk, <br />o e,~v b <br />federal Tax ID No. or Social Security No.: 0 ~ "'D~~3 ~`f <br />Estimated total acres to be affected in the next report year:* Q, Z <br />