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•. <br />999 AID 0 3 1996 <br />Notice of Intent to Continue Mining Operations <br />110(2) Annual Report Division oftvlirieratsBGeo~uyy <br />Permittee Name: David Goss <br />Permit No: M-85-140 <br />Operation Name: Goss Sand & Gravel* <br />Anniversary Date: 01/24/96 <br />Total: $225.00 (Due on your Anniversary Date> <br />1 <br />2 <br />3. <br />4 .- <br />5. <br />6. <br />7 <br />a. Permitted acreage: 9~ b. County where mine is located: ~~ ~~ SO <br />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 />Do you extract MORE or LESS than 70,000 tons of mineral or ~~ ChL~ ` ~~ ed r-~ <br />overburden a year? MORE LESS ~J <br />Does this mine have a phased reclamation plan? YES NO <br />Total acres affected during the report year:* ~ ~~~~"~~,e`.,jxd~~'~H'~-- <br />Total acres reclaimed for the report year:* -~ ``~ <br />Total acres in various stages of reclamation:* <br />a. Backfilled: - ~-- d. Topsoil replaced: - ~ _ <br />b. Graded: - o - Average topsoil thickness <br />c. Seeded: - p - replaced: - 6-- <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:* O - <br />8. Estimated total acres to be affected in the next report year:* <br />9. COMMENTS: J7EC cC E~an, ,o.~~" <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 />** N~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 ew map 's u necessary. However, this must be stated above. <br />Signature: ~ Date: ~2 ~3/ /~S~ <br />Please type o print current contact name, mailing address, and phone number below: <br />~ ~c~'_~i/~ Ce 55 i' <br />Contact Name: Cry ; ~. .S~.,c~"~ I>'c,r.G~ ~ Phone: (`~~ 9> fn~3 '~~//Sf <br />Company: ~~ <br />Address: G`159 ,~= ~i v cct <br />Federal Tax ID No. or Social Security No.: <br /> <br />