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~.. <br /> <br /> <br />-- • RFCEI~.!ED . <br />~II'I~~I~~~~~~~~ ~I~ g p JAN 16 1997 <br />Notice of Intent ggg i O erations <br />112c Constr~~uc``tion MaterNi/als euuiual Re ort <br />~-+~N) / <br />Permit No.' M-92-113 Divi5i0~V~~~~i11 Gip1"`•'°wugy <br />Operat ion Name: Verhoeff Pit No 2* 1y'~~ <br />93a <br />Annive rsary Date: December 17, 1996 IC,¢rC., <br />~ <br />Annual Fees for the Year(s): 1995 - 1996 <br />Total: $550.00 (Due on your Anniversary Date) <br />1. a. Permitted acreage: b. County where mine is located: <br />2. 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 />3. Does this mine have a phased reclamation plan? YES NO <br />4. Total acres affected during the report year:* Q <br />5. Total acres reclaimed for the report year:* Z7 <br />6. Total number of acres in topsoil replacement stage: _~ <br /> a. Average thickness of topsoil replaced: <br />7. Total number of acres seeded: O <br /> a. List species seeded & seeding rate for report year on back <br />8. For non-phased operations provide dates extraction ceased: /V~~A <br /> a. Date reclamation began: /V'/~- <br />9. The type and approximate quantity of fertilizers, organic material or soil <br /> conditioners used for the report year:* ~I/ J n ~ <br />10. Estimated total acres to be affected in the next report year:* / <br />I 7~-r ~ <br />11 . COMMENTS : ' L, i C ~, ~ / C /. ~ /r A 9~/~ i~ ~~ i,.. i ~ /, /'/i w r~ A ~ ~ <br />S ~d r k /'~ ~P !d /~ ~. .~(/ /ev-, f• ~ i1 .nP Y~ ~n / /~GQ /iJ•~,r~Vr l <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. For phased operations show dates extraction ceased and dates <br />reclamation began. <br />** NOTS: 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 unn/ec~essary. However, this must bye/stated above. <br />Signature: ~/~~„/¢ ~i ..~rlrr~lbs e Date: ~/ - X "CI <br />Please type or print turrent contact name, mailing address, and phone number below: <br />Contact Name : V ~ /l P , d i4 .., y~fh Q / f P,~ <br />Company: F; v_r~ >' Gn c, r, ie <br />Address: ~n r~c~C ~ ~~/~ <br />Phone: (7/9)/J t% -?7z ~? <br />FAX NO: ( ) Sm n-, .P <br />c'ederal Tax ID No. or Social Security No.:/~~ GO 00 7 L{ ~/ <br />