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Ill Illllllllillllll <br /> Notice of Intent to Continue Mining Operations <br /> 110(2) Annual Report r,RFGEIV E{ <br /> Permittee Name: Nelson Constructio,p Inc JUN 1 9 19950- <br /> Permit No: M-78-208 ' <br /> Operation Name: Shaffers Crossing* <br /> Anniversary Date: 06/16/95 Uiwstonn( wunerais6,6eology <br /> Total : $225.00 (Due on your Anniversary Date) <br /> 1 . a. Permitted acreage: 66 G 3 b. County where mine is located: ,T� <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 /> Do you extract MORE or LESS than 70,000 tons of mineral or <br /> overburden a year? MORE LESS <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:* S; ,yrz AS 91V <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. Estimated total acres to be affected in the next report year: * <br /> 9. COMMENTS: S✓1-L( .Ssrrr x"'r es 612% z"/Z <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 ew map is u necessary. However, this must be stated above. <br /> Signature: Date: <br /> Please type or print current contact name, mailing address , and phone number below: <br /> Contact Name: Phone: <br /> Company: Zo �s <br /> Address: <br /> Federal Tax ID No. or Social Security No. : —(-7 Wj:;�FyZ <br />