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Not ice, Qf Intent to Continue Mining Operations <br /> 110(2) Annual Report <br /> Permittee Name: cv� k-k-q- Ccrst�vcb,c,� .� <br /> Permit No: (at M 1r19s- 0.-k3 <br /> Operation Name: <br /> Anniversary Date: <br /> Total : $225.00 (Due on your Anniversary Date) <br /> 1 . a. Permitted acreage: ✓e� ��s6 County where mine is located : J ack—s 0 v-1 <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? LESS <br /> Do you extract MORE or LESS than 70,000 tons of mineral or <br /> overburden a year? MORE LESS <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 soil <br /> conditioners used for the report year:* <br /> 8. Estimated total' acres to be affected in thenext report year:* �21� <br /> 9. COMMENTS: A/z Ao- 5�i7 h Snr9G_ ecru , Ale wi <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 Ttimetable. <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 /> througlf 6, then a new map is unnecessary. However , this must be stated above . <br /> Signature: Date: y-l(J- aQ <br /> Please type or print current contact name , mailing address , and phone number below: <br /> .Contact Name: 14alzlLy Cqx,">° Phone : _ 17G?-- ��3 -467_& <br /> Company: cox-E-1--e- rf-Mc rLL- Llr� A f <br /> Address: -jeD X 30 CP _ <br /> Federal Tax 10 No. or Social Security No. ' _ .yq�/()%�O�/__..-_ __ <br />