REP21205

• Permit No: M1977140
• IBM Index Class Name: Report
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

~ • ' ~ III III'll!II"II'll
Notice of Intent to Continue Mining Operations
112 Annual Report
Permittee Name: Mathias Concrete Inc
Permit No: M-77-140
Operation Name: N Farm Rd Pit No 1*
Anniversary Date: 01/15/96
Total: $550.00 (Due on your Anniversary Date>
2
3
4
5
6
7
8
9
~~ret~lEQ
JAN 0 81996
Givision of rvunerals ~ Geology
g ~l~ b. County where mine is located:
a. Permitted acrea e: ~
Has this mine been granted TEMPORARY CESSATION STATUS? YES
Does this mine operate MORE or LESS than 160 days per year? MORE
Does this mine have a phased reclamation plan? YES
Total acres affected during the report year:*
Total acres reclaimed for-the report year:*
Total acres in various stages of reclamation:*
a. Backfilled: p d. Topsoil replaced: ~
b. Graded: _~_ Average topsoil th ~~ness
c. Seeded: replaced:
List species seede & seeding
rate for report year on back
The type and approximate quantity of fertilizers, organic material or soil
conditioners used for the report year:*

* ~ U ~ ~1~L7-: w/,~r-z W~ ~G~,~~ do..~ tG,~ lGi ct t ~Jedo..v ye~,K
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 unnecessary. However, you m~ust~st'ate this fact above.
Signature. - Date: _~//^~ii~ • ~~ ~g~f
Please type or print current contact name, mailing address, and phone number below:
/ ~-
Contact Name: - Phone: ~ /~) cQ~~-3~3 ?
Company:
Address:

Federal Tax ID No. or Soclal Security No.: 7 02 l ly Z- J ~~
Estimated total acres to be affected in the next report year:*