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~ ~ ~ ~ III IIIIIIIIIIIIIIII ~ ~~`°~i~, <br />Notice of lnceii~99v ,,.,,,~,,,ue Mining Operations ~~ <br />110112) Annual Report ~A~'2 p 199! <br />Permittee Name: Westley Potts ~~~~~ '~ R~^~~/;~a<a <br />Permit No: M-83-030 ry~n ^na <br />Operation Name: Twin Canyon Mine* •:_~ <br />Anniversary Date: 06/10/92 <br />Total: ~h2Q.00 a~/o; (Due on your Anniversary Date) <br />1. Has your mine been granted TEMPORARY CESSATION STATUS? YES NO <br />Does your mine operate MORE or LESS than 180 days per year? MORE LESS / <br />2a. Financial Warranty: S ~D 0 ~ 2b. Permitted acrea <br />3. Do you have a phased reclamation plan? <br />4. Total_acres affected during the report year:*~Yw~~ <br />5. Total acres reclaimed for the report year:* /!'(-owe <br />6 <br />7 <br />8 <br />9. <br />Total acres in various stages of reclamation:* <br />a. Backfilled: t~ d. Topsoil replaced: C~ <br />b. Graded: () Average topsoil thickness <br />c. Seeded: ~~ replaced: <br />list species seeded & seeding <br />rate for report year on back <br />The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* ~,,~~ <br />* Please show the location of the acreage for items <br />Indicate the phases of the reclamation which have been <br />your Ttimetable. <br />** NQIE: If there have not been any changes since the <br />previously submitted a map which correctly depicts the <br />through 6, then a new map is unnecessary. However, yo <br />4 - 6 on your map**. <br />completed, correlated with <br />last annual report and you <br />current acreage in items 2 <br />~ must state this fact above <br />Signature: ~_,~.,L \ ~m-('X/1/ Date: ~o yZ <br />Please type or print current contact name, mailin~ ress, an phone number below: / <br />Contact Name: Phone: (~a3 > ~5 33- 73~ % // <br />AddPess: h//5'C/~ ~~~ jl~~/~/5' C!w/z2 Ca.x,y,,.v~n1/,.F <br />_!J7~ a~ n. 0 5 G o b-13 ,Z ~- Y 11 <br />Federal Tax ID No. or Social Security No.: X5,2 y_3d, ~.3y~ ~~\\a~ <br />J\ <br />Estimated total acres to be affected in the next report year:* ~-,~.o•-~~- <br />