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<br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />2 <br />3 <br />4 <br />5 <br />6 <br />Notice of Intent to C,ontl.n;,e Mining OperationsRF(;FI\/Fn <br />112 Annual Report APR 2 4 ~g96 <br />Domtar Gypsum Inc <br />M-77-247 <br />Coaldale Quarry* <br />04/28/96 <br />Division of Minerals & Ge0iogy <br />~56n.00 Due on y~~ir Anniversarv Date <br />a. Permitted acreaye: ~o o b. County where mine is located <br />Has t his mine been gr,~nt~~i TEIaPORARY rESSlrrrN STaT~~.~ r'E. <br />Does this mine operate I.1t7RE or LESS than IRO days peg year? h1~RE <br />Does this mine have a phase d reclamation plan? <br />Total acres affected during the report year:* <br />Total acres reclaimed for the report year:* 1 3 <br />Total acres in various stages of reclamation:* <br />a. Backfilled: G(-p d. Topsoil replaced: ~A <br />b. Graded: 4o Average topsoil thickness <br />c. Seeded: 6o replaced: Hh <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:* ~/e., <br />8. Estimated total acres to be affected in the next report year':* ~0 0 <br />9. COMMENTS: "T-G- `z-M~.ru,voN DE,t~~~0 3~ p'1LR.'B fSoy•9~ ~w <br />~W ~{Z ,N ~"~~~ ~S ~o27v„1LaT 11Jfi C'LO ~JV R.E- ~WN . <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 />** NDIE: If there have not been any changes since the last annual report and you <br />previously submitted a man a,hich cnrrP~tly ~leprntS the nirrent acr?aye i~ rtPms 2 <br />through 6, then a new map is unnecessary. However, you must state this tact above. <br />Signature: jL S ~y Date: 4/l~/9(~ <br />Please type or print current contact name, mailing address, and phone number below: <br />Contact Name: ~-s.r~N•~~~ S . ~i~o Phone: (~~`~ ) g42-~Fi~B <br />Company ~~v 2iT F_. ~t+! <br />Address: ~'p~ 33p~ <br />-cJ PAX I C>~ g ~ Z?-zj <br />~~Et~o rrt <br />NO <br />roo <br />Federal Tax ID No. or' Social Security No.: ~pYCnQ-. <br />