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III liiilllllllillli ~ <br />999 ~1 <br />Notice of Intent to Continue Mining Operations r~EC~~1/~n <br />110c Construction Materials Annual Report 1 L, <br />Permittee Name: Washington County J(!~ QS ~99/ ~'"'1 <br />Permit No. M-99-077 .1~~ <br />AnniversaryaDate: August125 a1997Pit ~SYSS(Ol10fl.,,,~y~d~S~Ud4,J~l <br />Total: $225.00 (Due on your Anniversary Date) 6~[ <br />1. Contract Uates: Beginning date: '~~ -Tr r/ Completion date: /' I T <br />2. a. Permitted acreage: b. County where mine is located: ~ i G4' <br />3. Has this mine been granted TEMPORARY CESSATION STATUS? YES /~ <br />4. Does this mine operate MORE or LESS than 180 days per year? PSORE ESS <br />5. Does this mine have a phased reclamation plan? YE~~S// /NO <br />6. Total acres affected during the report year:* ~vOaIC- <br />7. Total acres reclaimed for the report year:* /VrNT <br />8. Total number of acres in topsoil replacement stage: .~d~/. <br />a. Average thickness of topsoil replaced: <br />9. Total number of acres seeded: <br />a. List species seeded & seeding rate for report year on back <br />10. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:' <br />11. Estimated total acres to be affected in the next report year:" ~g v <br />12. 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 />** NOTB: 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/p~ is unnecessary. However, this must be stated above. <br />Signature:`~Zp l-LiQ,..~~~ Date: <br />Please type or print current contact name, mailing address, and phone number below: <br />Contact Name: /.Q,rtT ~~ U Phone: (Q70 ) ~$3 i~..2/G <br />/1 T-- FAX NO: iQ~p ) 38~ '.L~/3 <br />Company: ~~~~'~p~ I~CuA~/ <br />Address: //q.2~D R G~ ~C <br />{d~n~ ~O~o. E D~,~ f <br />Federal Tax ID No. or Social Security No.: D7 ~ l[~OL'O ~'/~ <br />