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~ ~ III IIIIIIIIIIIIIIII <br />Notice of Intent to Continue Mining Operations <br />112 Annual Report <br />nr_.rcly/FD <br />Permittee Name: Western Mobile Northern Inc <br />Permit No: M-80-136 <br />Operation Name: Chambers Pit Ft~ 2 5 1994 <br />Anniversary Date: 02/25/94 <br />Total: $550.00 (Due on your Anniversary Date) <br />41`.'istOn m rnlnC~u~a w vcv~ouy <br />1. 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 />2a. Financial Warranty: $ ~Z,~+Dn 2b. Permitted acreage: ,'D• ~ <br />3. Does this mine have a phased reclamation plan? YES// NO <br />4. Total acres affected during the report year:* 24 (~o~A~) <br />5. Total acres reclaimed for the report year:* <br />6. Total acres in various stages of reclamation:* <br />a. Backfilled: ~t _ d. Topsoil replaced: L7 <br />b. Graded: ~ Average topsoil thickness <br />c. Seeded: ~ replaced: `~ <br />List species seeded & seeding <br />rate for report year on back <br />7. The type and approximate quantity of feitilizers, organic material or soil <br />conditioners used for the report year :* (l~p~ <br />8. Estimated total acres to be affected in the next report year:* y <br />9. COMMENTS: <br /> <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 />** 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, you must state this fact above. <br />Signature: Date: ~- ~~-9~ <br />/ <br />Please type <br />r print current contact name, mai~ g address, and phone number belowf <br />Contact Name: ~ U,~r?, 61iPf'-l9-ry7nf /~-L/~ / Phone: (,x1.3 >~a57~/~3~ <br />Company: ~SL~/~1 ~B~7i~? Q ~h>~Pi1'f2i S/IC . <br />Address: ~D P~ 1 6 ,~ ~ <br /> ~en)~ri ~ S ~aa.~/ d~' <br />Q' <br />~/1 ,!(/ ~P <br />Federal Tax ID No. or Social Security No.: ~~l~Z~ <br />