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otice of Inte III IIIIIIIIIIIII III ing Operations <br />110c Construction ma [e x~lala .vnnual Report <br />Fermittee Name: Harold Brandstadt ~ ` ~,~~~/E G <br />Permit No. M-86-004 <br />Operation Name: Brandstadt Rock Pit* ULL !~ 4 1996 <br />Anniversary Date: January 24, 1997 ~ <br />Total: $225.00 (Due on your Anniversary Date) 'n ~ 1 <br />1. a. Permitted acreage: .3 • S b. County where mine is looat83 ~eop6y// Q <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 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:* <br />5. Total number of acres in topsoil replacement stage: <br />a. Average thickness of topsoil replaced: <br />7. Total number of acres seeded: <br />a. List species seeded & seeding rate for report year on back <br />8. For non-phased operations provide dates extraction ceased: <br />a. Date reclamation began: <br />9. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* <br />10. Estimated tota~7lAacres to /bye affected in the nextnreport year:* <br />11 . COMMENTS : / /! Pi[..e- Jltt.~ ~.iti~a~[ _ /YCn ~/fi~.vlir~4 .t~ri- / q ~ . <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. For phased operations show dates extraction ceased and dates <br />reclamation began. <br />** NOT&: 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, this must be stated above. <br />Signature: ~-~.~..~.-,~ ~ir.~ ~ ~~ Date: ~n~ 2 /'~/ /`'~ <br />i <br />Please type or print,/curre/nt /cJOntactnJame, mailing address, and phone number below: <br />Contact Name: /7ciro~rS /7 YenrfS/urff Phone: ( x/70) ~y-y/S9 <br />FAX NO: ~_) __ <br />Company: [S hRMd 5l a d t ITOG k P l r <br />Address: dO N U G R~ a d ~ENVcq <br />l7~/tG, ~~%. ~~tii~ OFD',-,_ <br />.~.:: <br /> <br /> <br />Federal Tax ID No. or Social Security No.: S o1 ~ - y0 - G ~I ~ .3 <br />