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<br /> <br />w ~~CEI~EU <br />Notice of Irfent to Continue Mining Operations SAY 1 <br />110(2) Annual Report 5 199: <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />total: <br />2a <br />3. <br />4. <br />5. <br />6 <br />7 <br />8 <br />9. <br />High Plains Stone Company M(nedr_and <br />M-90-016 Re^lamarl~~ n.• •~.: _ , <br />South 40 Quarry ' <br />07/11/92 <br />$175.00 (Due on your Anniversary Date) <br />Has your mine been granted TEMPORARY CESSATION STATUS? <br />Does your mine operate MORE or LESS than 180 days per year? <br />Financial Warranty: $ 2b. Permitted acreage <br />Do you have a phased reclamation plan? <br />Total acres affected during the report year:* <br />Total acres reclaimed for the report year:* <br />a. Backfilled: ~ <br />b. Graded: ~ n .A <br />c. Seeded: ~_ <br />List species seeded & seeding <br />rate for report year on back <br />Total acres in various stages of reclamation:* <br />YES <br />MORE LESS / <br />YE NO <br />d. Topsoil replaced: <br />Average topsoilthickness <br />replaced: y.i-- <br />* Please show the location of the acreage for items <br />Indicate the phases of the reclamation which have been <br />your timetable. <br />** NOTE: 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: Date: ' <br />Please type r tint current contact name, mailing ad/dress, <br />Contact Name: ~~ / Phone: <br />Company: L~js,~~,IriS ~~DriP~ ,,,/// <br />Address: '-C <br />~1~~ <br />a~ <br />and phone number below: <br />C3~~) 75 ~ ' /y°~/ <br />Federal Tax ID No. or Social Security No.: ,~+~~~(~ <br />a~~ <br />~\ <br />The type and approximate quantity of fertilizers, or an c material or soil <br />conditioners used for the report year:* <br />Estimated total acres to be affected in the next repot year:" <br />