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: <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br /> <br /> <br />RFCEIVEC <br />Notice of Intent to Con'finue~Mining Operations <br />110(2) Annual Report ~A Y O <br />s jss3 <br />Indian Creek Mining Corp Division t <br />M-91-054 o muie~d~~ a U,euio9Y <br />Proffitt <br />05/29/93 <br />$60.00 (Due on your Anniversary Date) <br />1. Has this mine been granted TEMPORARY CESSATION STATUS? <br />Does this mine operate MORE or LESS than 180 days per year? <br />OD <br />2a. Financial Warranty: $ ~~r~J 2b. Permitted acreage <br />3. Does this mine have a phased reclamation plan? <br />4. Total acres affected during the report year:* <br />5. Total acres reclaimed for the report year:* <br />YES NO <br />MORE LESS <br />~-ed..e L~,,.~ ~. Ace ~s <br />YES <br />6. Total acres in various stages of reclamation:* <br />a. Backfilled: ~_ d. Topsoil replaced: <br />b. Graded: _~ Average topsoil t kness <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. Estimated total acres to be affected in the next report year:* ~ Q. <br />9. COMMENTS: --~1C~J2.• <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 />** NOIE: If there have not been any changes since the last annual report and you <br />previously submitted a map w ich correctly depicts the current acreage in items 2 <br />through 6, t a new ap unnecessary. However, this must be stat/e~d above. <br />Signature: Date: ,lS - ~ 7 ~ / <br />Please type or pri t Curren/t contlact name maili address, and phone number bec~low, <br />Contact Name: a~4„Q-?' ~lfyG4-,/~~2~ Phone: (~t7~ >~~.Z-~~[7~ <br />Company: <br />Address: <br />Federal Tax ID No. or Social Security No.: (J 7..~L 3 ~3i 7 ___ <br />~0.~ <br />