REP17960

• Permit No: M1977022
• IBM Index Class Name: Report
• Doc Date: 3/10/1994
• Doc Name: 110 2 ANNUAL FEE INVOICE AND REPORT REQUEST
• Media Type: D
• Archive: No

Notice of Intent to Continue Mining Operations ;:I~R
llo(z) Annual Report ~ ~ 1994
(,~..;";
Permittee Name: Delta Sand & Gravel """'r.;,,~~~
Permit No: M-77-022 ~ ~~.,
Operation Name: Pit No 3*
Anniversary Date: 03/28/94 ~(~
Total: $225.00 (Due on your Anniversary Date)
1. Has this mine been granted TEMPORARY CESSATION STATUS? YES NO _
Does this mine operate MORE or LESS than 180 days per year? MORE LESS
2a. Financial Warranty: $ /..300 2b. Permitted acreage
3. Does this mine have a phased reclamation plan?
4. Total acres affected during the report year:*
5. Total acres reclaimed for the report year:*
y~ 3
YES NO
0
6. Total acres in various stages of reclamation:*
a. Backfilled: o d. Topsoil replaced: o
b. Graded: G Average topsoil thickness
c. Seeded: o replaced:
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:* (i
8. Estimated total acres to be affected in the next report year:* /
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, this must be stated above.
Signature: ~~~~~`c/~~ /~/D~ Date: 3/7/9`'
Please type or print current contact name, mailyng address, and phone number belo
Contact Name: y/ L. /~, // Phone: (~~ > ~~~`~~-~
Company: 11 /¢,a SASCf' A y~Ave/ ~o.
Address: j~0.f.+'x /D3
vet, Go ~/~-~G
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Federal iax ID No. or Social Security No.: ~~'- ~~/~D~J MPS