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<br /> <br /> ~~~ ~~~~~~~~~~~~~ ~~~ ~4F <br /> c~, <br />, <br /> <br />Notice of Intent to Continue ~,~...,ig Operatio~ ~ <br />~ <br />. '9/li <br />~ <br /> ~ <br />110(2) Annual Report ~s/o 1 <br />~J <br />~% <br /> ~ <br />99s <br />Permittee Name: David Goss P~d/ <br />s <br />Permit No: M-85-140 CC <br />Operation Name: Goss Sand & Gravel* P~/o9 <br />Anniversary Date: 01/24/95 y <br />Total: $225.00 (Due on your Anniversary Da te) <br /> <br />1. a. Permitted <br />acreage: °~i ~' _ b. County where mine is lo .,p <br />cated: L f ~-° ~ <br />2. Has this min e been granted TEMPORARY CESSATION STATUS? YES NO <br />Does this mi ne operate MORE or LESS than 180 days per year? MORE LESS T <br />Do you extra ct MORE or LESS than 70,000 tons of mineral or <br />overburden a year? MORE LESS <br />3. Does this mi ne have a phased reclamation plan? YES NO <br />4. Total acres affected during--the report year:* _ - ~Y^~---` , <br />5. Total acres reclaimed for the report year:* `Yu'``~' <br />6. Total acres in various stages of reclamation:` <br />a. Backfille d: ~~e-wc_ d. Topsoil replaced : <br />b. Graded: ~jJ'Lo-i.~ Average topsoil thickness <br />c. Seeded: ~~"'«Q~ replaced: ~7v+ -LQ__ <br />List spec ies seeded & seeding <br />rate for report year on back <br />7 <br />8 <br />9 <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 Ttimetable. - <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 ne map is unnece ry. However, this must be stated above. <br />.~ <br />Signature: , ~ Date: ~ <br />Please type or print curre - contact name, mailing address, and phone number below: , <br />Contact Name: fl ~V t >> CYa s_s ~ Phone: ('7 1 ~) ~e ~'~ .... ~L~./<,~ <br />Company: (~D 5S ~~~,D ~ (-'~rrr„r~ <br />Address: Ca7Sq .i= / l~ c~7Y' /~+~~u <br />Cpl j~~i, G'~ ~o ~~. 9'N ~9 ~~ <br />Federal Tax ID No. or Social Security No.: <br />The type and approximate quantity of .fertilizers, organic material or soil <br />conditioners used for the report year:* ~-yc_~ <br />Estimated total acres to be affected in the next report year:* <br />