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`.. <br />_ __ • F 03 <br />Notice of Intent III IIIIIIIIIIIII III t4 Operations ~e~o~ ~~a <br />112c~ Construe. 999 .ual Report RECti~lEp . <br />Permittee Name: Base Products AUG 2 p 199/ <br />Permit No. M-94-053 <br />Operation Name: Base Prod Grav Pit 1 <br />Anniversary Date: September 13, 1997 9iviSi0n Ot ni~rl0rdi5 6 <br />Total: $550.00 /(/Due on your Anniversary Date) Ud0100Y <br />1. a. Permitted acreage: J ~,.5 t/, b. County where mine is located: ~ <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? 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 />F. Total number ~f acres in topsoil replacement stage: -_Q_- <br />a. Average thickness of topsoil replaced: <br />7. Total number of acres seeded: <br />a. List species seeded & seeding rate for report year on back <br />8. For non-phased operations provide dates extraction ceased: <br />a. Date reclamation began: <br />9. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* ~'fDY!l° / <br />10. Estimated total acres to be affected in the next report year:* ~(D <br />11 <br />* Flea~e skfow [he location oT ttxA 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 />mop <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, thin a new map is unnecessary. However, this must be stated above. <br />r ~ ~y / p <br />Signature: Cry ~/t / Data: D 1 ~y/ /7 <br />Please type or print curren~t /coontact/name, mailing address, and phone number below: <br />Contact Name: /dqU /'//~OC'~/~QI1 >c Phone: ( 99d )ay9-3D(v/ <br />~l~ FAX NO: ( ) <br />Company: c <br />Address: to LL/ <br />r7 <br />Federal Tax ID No. or Social Security No.: G/rl 0 ! - f'~ 7(DJ ~~ <br />^@ <br />1- /!4(~ So/~ 1'no5/ a? S~oc~~;~~s T/jiS Jt eQ1; ~ eoul~ Ylo~ <br />ob~ar'7 aq~ ane f evusl~ ~` 4 Price -to co~n~e{~. `T .should <br />hQV~ one b~ ~~/. ;. <br />