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ii iiiiiiiiiiiu iii <br />• <br />,_. <br />Notice of Intent to Continue Mining Operations <br />110(2) Annual Report <br /> - - - - - =EB0 5199? <br />Permittee Name: Lazy A Corporation <br />Permit No: M-77-407 ~.~~ <br /> <br />Operation Name: <br />Cedar Creek Pit ,_ -~r1~ <br />Anniversary Date: 01/30/92 <br />Total: $120.00 (Due on your Anniversary Date <br /> <br />1. Has your mine been granted TEMPORARY CESSATION STATUS? YES (NO) <br />Does your mine operate MORE or LESS than 180 days per year? MORE (LESSI <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: I d. <br />b. Graded: 0 <br />c. Seeded: 0 <br />List species seeded & seeding <br />rate for report year on back <br />5 <br />4 <br />rlntir <br />Topsoil replaced: o <br />Average topsoil thickness <br />replaced: n <br />The type and approximate quantity of fertilizers, organic materi,ll or soil <br />conditioners used for the report year:* 0 <br />6. Estimated total acres to be affected in the next report year:* _ ~ <br />7. COMMENTS: <br />* Please show the location of the acreage for items 2 - 6 on your ma.p**. <br />Indicate the phases of the reclamation which have been completed, correlated <br />with your timetable. <br />NOTE: If there have not been any changes since the last annual report and <br />you previously submitted which c ctly depicts the current acreage in <br />items 2 through~6, the w map is necessary. However, you must state this <br />fact above. <br />Signature: ~~/`~/ li1/ Date <br />Please type or print current contact name, address, and phone number Below: / <br />Contact Name: C Phone: ( '~03) z.~z-~ls~ // <br />Company: L A C r i <br />Address: IR20 "/infield Drive ~ ~/'~ <br />T .a krwnnrl ~{'C) Rnz1S J\~P"'~ ~~ <br />.~1~ <br />Federal Tax ID No. or Social Security No.: <br />