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,+( • II I III III III IIII III <br />Notice of Intent to Continue Mining Operatio~CEIUED <br />112c Construction Materials Annual Report <br />Permittee Name: Jake Kauffman & Sons Inc ~~ ~ ~ ~~~ <br />Permit No. M-78-327 <br />Operation Name: Kauffman Pit* <br />Anniversary Date: May 14, 1997 DivisionolMineraisa(;eoiopy <br />Total: $550.00 (Due on your Anniversary Date) <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />10 <br />r >> <br />a. Permitted acreage: ~ b. County where mine is located: e/` <br />Has this mine been granted TEMPORARY CESSATION STATUS? YES .~ <br />Does this mine operate MORE or LESS than 180 days per year? MORE ESS <br /> <br />Does this mine have a phased reclamation plan? ~ NO <br />Total acres affected during the report year:* ~-O ~- <br />Total acres reclaimed for the report year•* J~ <br />Total number of acres in topsoil replacement stage: - ~~- <br />a. Average thickness of topsoil replaced: <br />Total number of acres seeded: - <br />a. List species seeded ~ seeding rate for report year on back <br />For non-phased operations provide dates extraction ceased: <br />a. Date reclamation began: -' <br />The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* <br />Estimated total acres to be affected in the next report year:* <br />11. COMMENTS: <br />-O - <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 />** 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 />through 6, then a new map is unnecessary. However, this must be stated above. <br />Signature: //.LlLil[/ ~1~'U.GY~l9Z~1'/L Date: ~- <br />Please type or print/ZC,urrent contac/t name, mailing address, and phone number below: <br />Contact Name: ///~~ ~L?(rr~//z~A~ Phone: (J~'~D ) ~~-,7-/p~~ <br />_~ _ FAX NO : ( 9JD 1 ~~ ~ - / 9~S <br />Company: ~/i5'f~P /T/~V~~irA.U 4~^/J ~i~~ <br />0 <br />Address : $D.4 tie~ / /9y1~ <br />~iBGT. ~r'~//l0 C' n ~~ ~~ <br />Federal Tax ID No. or Social Security No.: ~~ - d S6d ~~~ <br />