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~i~ ~ -~Z~ ~~ . ~ ~~ ~ ~~ ~~I ~~~ ~~~~~ ~ ~ ~ ~ ~ I1 - ' 999 MAY 18 199 Notice of Intent to Continue Mining Operations 110(2) Annual Re port J iwsiori Ot M Permittee Name: Washington * County inerals 8 ~eo~~ Permi t No: M-86-048 _ ~ ,t/rc.Kc ll ~' ~~~ ~~ Operation Name: Nicholson Gravel Pit Anniversary Date: 05/22/95 Total: $225.00 (Due on your Anniversary Date> 1. a. Permitted acreage: 9`~Z b. County where mine is located: Lc)asri.in 2. Has this mine been granted TEMPORARY CESSATION STATUS? YES NO Does this mine operate MORE or LESS than 180 days per year? MORE ES Do you extract MORE or LESS than 70,000 tons of mineral or overburden a year? MORE ESS 3. Does this mine have a phased reclamation plan? YES NO 4. Total acres affected during the report year:* NylJr~ 5. Total acres reclaimed for the report year:* i~ldnlc 6. Total acres in various stages of reclamation:* a. Backfilled: d. Topsoil replaced: b. Graded: Average topsoil thickness c. Seeded: replaced: List species seeded & seeding rate for report year on back 7. The type and approximate quantity of fertilizers, organic material or soil conditioners used for the report year:* 8. Estimated total acres to be affected in the next report year:* 9. COMMENTS: * Please show the location of the acreage for items 4 - 6 on your map**. Indicate the phases of the reclamation which have been completed, correlated with your timetable. Contact Name: ~o.,,.., ~.,M.o / Phone: ('77D ) 3$ - I Q~k Company: I~kisl,~„~.-lcnn (_I_IL[.Hf.~ k ~~P~' Address: /l9 0 ~ x~d CC R` ** NOTE: If there have not been any changes since the last annual report and you previously submitted a map which correctly depicts the current acreage in items 2 through 6, then a new map is unnecessary. However, this must be stated above. Signature: ~r1~,w ~o Date: ~- //-95 Please type or print current contact name, mailing address, and phone number below:. Federal Tax ID No. or Social Security No.: ~'`~ a~