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Notic~Y Intent to Cont+nue Mining Up~tion; <br />I12 Annual Report <br />Pe+init[ee Name: Robert V Mayne <br />Permit No M-A7-074 <br />Operation Name: Dotsero Quarry' <br />Anniversary Date: 10/09/15 <br />Total: $550.00 (Due on your Anniversary Dater <br />I. a. Permitted acreage: ~ (~ b. County where mine is located: G/.#~ (ter <br />2. Has this mine been granted TEMPORARY CESSATION STATUS' YES Cv <br />Does this mine operate MORE or LESS than I80 days per year? r'MORE, LESS <br />i-~: - <br />3. Does this mine have a phased reclamation plan' L(ESj NO <br />4. Tutal acre; affected during the report year:' <br />5. Total acres reclaimed for the report year:' pmt, v~2o~ <br />6. Total acres in various stages of reclamation:' ~~ <br />.r. Eaci.tilled: __ d. Topsoil replaced: __Q <br />b. Graded: 01 A-~i£e-Y__ Average topsoi I r+~t;,hne~z <br />~~~- +eplaced: <br />r. Seeded: - - <br />List species seeded 8 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:' `-- " r <br />8_ fstimateU total aces to be affected in the_next report year:' ~. <br />9. rt)MMCNtS. <br />` Please shoe the IocatrOri of the acreage for items 4 - b en your map " . <br />InUicate the phases of the reclamation which have been cowpleteU, cor,elated with <br />your timetable. <br />" MUTE: If there have not been any changes since the last annual report and ycu <br />previously nrbmitted a map which correctly depicts the current acredye n ite,r+s <br />th+ouyh (, then a new map is unnecessary. However, you must st.atr thi; fact above. <br />;lynature: <br />Date: <br />Please type or print [u+rent contact Hanle, mdiliny addre.., dnU hhiine number below: <br />+'ontact fvunie: ~~~'ri~ ~~/4c7,n/~ <br />Company: ~~~vE_.Q~oct <br />uwi W t~l~~o~/ _ <br />Phone : _z ~v -_S~L~_ 7~ <br />hedera l Tax ID flo. or ;oc is l Secu~ i ty No.: _8y- //~~~_OU -- --- ---- <br />