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II IIIIIIIIIIIII III <br />~ - - • R 999 <br />Notice of Intent to Continu~Miniiig Operations <br />110(2) Annual Report <br />Permittee Name: Darryl D <br />Permit No: M-79-103 <br />Operation Name: Amick <br />Anniversary Date: 04/08/91 <br />Total: 550.00 <br />5tout~ <br />MAR041991 <br />Mined Land <br />Reclamation Division <br />(Due on your Anniversary Datel <br />1. Has your mine been granted TEMPORARY CESSATION STATUS? <br />Does your mine operate MORE or LESS than 180 days per year? <br />2. Total acres affected during the report year:* <br />3. Total acres reclaimed for the report year:* <br />4, Total acres in various stages. of reclamation:* <br />a. Backfilled: ~ d. <br />b. Graded: p <br />c. Seeded: 6 <br />List species seeded & seeding <br />rate for report year on back <br />5. The type and aDDroximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* <br />6. Estimated total acres to be affected in the next report year:* O <br />7. <br />* <br />NOTE: If there have not been any changes since the last annual report and <br />you previously submitted a map which correctly depicts the current acreage in <br />items 2 through 6, then a new map is unnecessary. However, you must state this <br />fact above. <br />Signature:~~~~~~j~ Date: //~7~0/9~ <br />Please type or print current contact name, address, and phone number below: <br />Contact Name: ~~ Phone: (3031 ~7~-0~'~?( <br />Company: _ ~~ <br />Address: ~j A ~ <br />f ~,V 1 ~ <br />Federal Tax ID No. or Social Security No.: gy ^o'~l~{~~~y \~" <br />'~' <br />YES <br />MORE ES <br />Topsoil replaced: p <br />Average topsoil thickness <br />replaced: <br />Please show the location of the acreage for items 2 - 6 on your map**. <br />Indicate the phases of the reclamation which have been completed, correlated <br />with your timetable. <br />