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= <br /> <br /> n^ <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />i <br />• III IIIIIIIIIIIII III <br />. 999 <br />Notice of Intent to Continue Mining OFe~tl'0'~! ~~ V <br />110(2) Annual Report' <br />Frank Levkulich & Ralph Knez DEC 3 1 199 <br />M-85-082 DiVIjIViJ Op <br />Rock Pi t* MINERgLg g GE: GY <br />12/30/92 OLO <br />5175.00 (Due on your Anniversary Date) /' <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 LESS <br />2a. Financial Warranty: S q1 ~-' 2b. Permitted acreage: otO~ <br />3. Do you have a phased reclamation plan? Y NO <br />4. Total acres affected during the report year:* <br />5:' Total acres reclaimed fcr-the report year:'-- --~ - ~~~-~- <br />6. Total acres in various stages of reclamation:* N ~ <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 />7. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* ~ q-- <br />8 <br />9. <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 />** NDIE: 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: /1~.~~C. - /,~ll/!~i Date: /~^ ~~ - a/ Z- <br />~- <br />Please type or print current contact name, mailing address <br />Contact Name: ~~~Z ~~~~ / Phone <br />Company: ~~/~~//.~y~i~'LCC/~ <br />Address: f90 `~ /~ 93 <br />~7~AL_4 ~o/o S~Gzs <br />and phone number below/ <br />Federal Tax ID No. or Social Security No.: 5'a /- S'G - 9G d /~ <br />~a~ <br />~\`' <br />Estimated total acres to be affected in the next report year:* <br />