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<br />., <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />i <br />• <br />R~~Fi <br />hAyos ~FQ <br />Re~~aM~}on nn~ 9c <br />~,.~;,~7 <br />Notice of Intent to Continue Mining~Operations <br />110(2) Annual Report <br />Pridemore Construction Inc <br />M-91-037 <br />Lota Rock Pit <br />05/03/92 <br />$120.00 (Due on your Anniversarv Date) <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. eackfilled: % d. <br />b. Graded: ~ i <br />c. Seeded: -O <br />List species seeded & seeding <br />rate for report year on back <br />YES NO <br />MORE ES , <br />,~ <br />Topsoil replaced: ""~ <br />Average topsoil thickness <br />replaced: - o - <br />5. The type and approximate 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:` / <br />7. COMMENTS: <br />* Piease show the location of the acreage for items 2 - 6 on your map**. Indicate <br />the phases of the reclamation which have been completed, correlated with your <br />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 new map is unnecessary. However, you must state this fact above. <br />Signature: ~'~~ ~ ~.cr~ Date: 2 9 ~1 Z- <br />Please type or print current contact name, mail~~address, and phone number below: ~- <br />l <br />Contact Name: CL~F~" ~R~ ~e,~g6i(e. Phone: (7/9) 339 • y5'2 ~/ <br />Company: 1~-~8~ da.n oRe Co.oSf: ~N c <br />Address: /2758 Gtsk~y,_$91 ,~g~b <br />S.e.~~ oa. L'a. k~~ o f y 6,~~d'1' <br />'~~ <br />r%~ .cS~, <br />Federal Tax ID No. or Social Security No.: '~'~~ , <br />~,P~ <br />