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<br />._. _ . <br />~ , <br />_ <br />~ Notice of Intent to Continue Mining Operations ifi <br />110(2) Annual Report <br />FEB 2 4 199: <br />Permittee Name: Jelen & Son Inc 0 <br />` <br />Permi t No: M-83-O11 MINE <br />Rp~S ~ , . <br />Operation Name: Willow Creek Mine ~ <br />_.,~. <br />Anniversary Date: 02/23/93 <br />Total: $175.00 (Due on your Anniversary Date) <br />1. 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 />2a. Financial Warranty: $ 2b. Permitted acreage: <br />3. Does this mine have a phased reclamation plan? YES NO <br />4. Total acres affected during the report year:* <br />5. Total acres reclaimed for the report year:` <br />6. Total acres in various stages of reclamation:* <br />a. Backfilled: d. Topsoil replaced: <br />b. Graded: Average topsoil thickness <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 so il <br />conditioners used for the report year:* <br />8. Estimated to <br />1 acres to be <br />affected in the next report year <br />:* <br />t <br />( <br />l <br />^ <br />~ <br />9. COMMENTS: I~10 ~'1rIi1Q~S 1113U~ ~~£n /I)GZ'~- ~l/,t~f /Q.~l C////7ua--~ <br /> <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 />** NOTE: If there have not been any changes since the last annual report and you <br />previously submit a map which correctly depicts the current acreage in items 2 <br />through 6, then ew map is unnecessary. However, this must be stated above. <br />Signature. °-L"~Q~'`' ~/ Date: ~/d~fQ3 <br />Please type or prat curr nt ontact name, ma' ng address, and phone number belo <br />Contact Name: CC~' ~JE((.IE~I~ <br />Company: J~I~N~ ~D -~//Jt(~N -T U~ ~ <br />Address: X035 /~e Z/Irtff~ St <br />Gold f n< ~ (fin So y~3 <br />Phone: (~a3 ) d7~-590/ <br />Federal Tax ID No. or Social Secu~ ity No ~"d~~G/5`~Q~~ _ <br />~~ <br />