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ermittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />Notice of Inten <br />III IIIIIIIIIIIIIIII ng Operations ~tl~~~ <br />l . 999 N 12 1992 <br />Downare Land Cattle <br />M-84-101 Reri med~a~d <br />Chaparral Meadows' a 't'^^ ~•• <br />08/13/92 ~~'~ <br />$175.00 (Due on your Anniversary Dat ) <br />1. Has your mine been granted TEMPORARY CESSATION STATUS? <br />Does your mine operate MORE or LESS than 180 days per year? <br />2a. Financial Warranty: $ s~ ~t`l,~ ~ 2b. Permitted acreage: <br />3. Do you have a phased reclamation plan? <br />4. Total acres affected during the report year:' <br />5. Total acres reclaimed for the report year:* <br />6. Total acres in various stages of reclamation:' <br />a. Backfilled: d. Topsoil replaced <br />b. Graded: Average topsoil <br />c. Seeded: replaced: <br />List species seeded & seeding "~p~,,c,~, ;L(ii~,p ,~ <br />rate for report year on back ./ VI <br />YES NO <br />MORE LESS <br />YES NCO ~ <br />~~ QO ,E'(~af"i <br />thickness <br />*feJ <br />7. The type and approximate quantity of fertilizers, organic mat rial or soil <br />conditioners used for the report year:' ~~~~ .~~ <br />8. Estimated total acres to be affected in the next report year: ,~ ,,:o XGo/~~ <br />9. COMMENTS: <br />,,'.~ <br />Gv-e <br />* Please show the location of the acreage for items 4 - 6 on yo r map**. <br />Indicate the phases p~ the r clamation,~which have been completed, orrelate with <br />your Ttimetoble. '/Y/ ~ ~U'~.","r„ ~[~'~„-~.'_\ ~q(/~ /~0t,~ <br />'* NQIE: If there have not bee any changes since the last annual report and yoJ2 u <br />previously submitted a map which correctly depicts the current acr age in items 2 <br />through 6, then a new map is unnecessary. However, you must state this fact above. <br />Signature: ' `c Date: - i- <br />Please type or pr;~,+ ~,~r,-o„+ ~,,,,+_~+ ~=mo m=;is~,I~~ ess, and ph ne number below: <br />Contact Name: <br />Company: <br />Address: <br />Federal Tax ID No. or Social Security No.: <br />Phone: (''//y ~ 7s' a/ -.iG~ <br />\(~~~ <br />\~~ <br />~ - - - ~ <br />