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t <br /> Notice of Intent to Continue Mining Operations <br /> <br />110(2) <br />Annual Report v <br /> Dcr'CI1/F'n <br />Permittee Name: <br />P <br />it N Benny Jensen FEB p 7 1896 <br />erm <br />o: M-91-OQ~ <br /> <br />Operation Name: ~ <br />White River S <br />E G <br />Anniversary Date: 04/17/96 DivisionormmeraisaG <br /> <br />Total: <br />$225.00 <br />(Due on your Anniversary eology <br />Date) <br /> <br />1. a. Permitted <br />acreage: <br />b. County .where mine is ~Q <br />located: i~ 1~jQh CU <br />2. Has this mine been granted TEMPOR ARY CESSATION STATUS? YES NO <br />Does this mine operate MORE or LESS than 180 days per year? MORE <br />Do you extract MORE or LESS than 70,000 tons of mineral or <br />overburden a year? MORE <br />3. Does this mine have a phased reclamation plan? <br />4. Total acres affected during t he report year:* <br />5. Total acres reclaimed for the report year:* <br />6. Total acres in various stages of reclamation:* <br />7 <br />YES <br />LESS `- <br />LESS <br />NO <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 />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: <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 />" I'~~IE: 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 v map i3,unnecessary. However, this must be stated above. <br />Signature: :IX~cCn1_/ ~/ y.L~oe __ ~ Date: _~~(,~ <br />Please type or prink dfirrent contact name, mailing address, and phone number below <br />Contact Name: Se / /f~ Phone: (yip) g~ -~/LL <br />Company: I hd ~l~(QUCL; ~~ <br />Address: ~ yr! yj~p ~ ~~~ <br />/~y/ <br />Federal Tax ID No. or Social Security No.: d ~- ~~~.~~~3 <br />