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~ <br />• .. • RECEIVED <br />Notice of Intent to Continue Mining Operations ~A Y 0 5 ~gg~ <br />110(2) Annual Report <br />R Mmery Land <br />Permittee Name: Washington County _ ~`lamafio~~~^^I^^ <br />Permit No: M-83-001 <br />Operation Name: Cecil 11-34-49 <br />Anniversary Date: 05/16/92 <br />Total: $120.00 (Due on your Anniversary Date) <br />1. Has your mine been granted TEMPORARY CESSATION STATUS? <br />Does your mine operate MORE or LESS than 180 days per year? <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: d. <br />b. Graded: <br />c. Seeded: <br />List species seeded & seeding <br />rate for report year on back <br />5 <br />1/8 acre <br />YES NO <br />MORE LES '% <br />5000 square feet <br />none <br />Topsoil replaced: <br />Average topsoil thickness <br />replaced: <br />The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* <br />6. Estimated total acres to be affected in the next report year:* LA~~ than <br />this year <br />7. COMMENTS: <br />* Please show the location of the acreage for items 2 - 6 on your map**. Indicate <br />the phases of the reclamation which have been completed, correlated with your <br />timetable. <br />NOTE: 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: /0,~~ Date: y/J~/~ja <br />Please type or print cu___rre///nt contact name, mailing address, and phone number below: <br />ContdCt Name: John Rudnik / Phone: ( 303 ) 383 2216 <br />Company: iaa GF-~~-County R^~,~ F^Y°man <br />Address: 11920 co Rd. CC <br />. ~°'~ <br />~t^a, C0~0801 ~ <br />- - ~Ati <br />Federal Tax ID No. or Social Security No.: 84-6000822 <br />