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~ <br />IIIIIIIIIIIIIIIIIII ~ECEIVEb <br />Notice of Intent __ __..999..... ,,,,,,ng Operations <br />110(2) Annual Report MAYlOl993 <br />Permittee Name: Summit Brick & Tile <br />Permi t No: M-85-203 Drvisioh O7 Mineids n (ieulo <br />Operation Name: Edmundson Clay Mine* 9Y <br />Anniversary Date: 05/09/93 <br />Total: $175.00 (Due on your Anniversary Dane) <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: $ S~C~ 2b. Permitted acreage: 9, <br />3. Does this mine have a phased reclamation plan? ES NO <br />4. Total acres affected during the report year:* D,~ 7~ <br />5. Total acres reclaimed for the report year:* ~ <br />6. Total acres in various stages of reclamation:* I <br />a. Backfilled: _~ d. Topsoil repiacedl: ~ <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 fertilizers, organic material or soil <br />conditioners used for the report year:* NA <br />8. Estimated total acres to be affected in the next report year:'* /~~/ r7 <br />9. COMMENTS: ~ SU/L TDG{< /C ~ f~S ~ S 06~ <br />Ny LA/1/17 N/9S ~Er'/U /~~CC%~//YIEG' S//Uf ~~/~-~ <br />Si~'I A« Ak'EH N/.~s d~ E~ D / STc~k'Ff6o. <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, lcorrelated 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, this must be stated above. <br />Signature: ~ e- ~ Date: S~7/~.3 <br />Please type or print/ current contact~n"acme, mailing add~r ss, and phone number below: ~ <br />Contact Name: JoS~Q/-~ ~ Vv~C-Tf / phone: l ~~`I~? rya' ~a/~ <br />Company: S`//!9/l~/T }~RIC.K ~T/~r< <br />Address: P, D,/~~x 53.3 <br />P~~B c. ~ , c. o t~/av2 - os33 ~ <br />,Q T 4 <br />Federal Tax ID No. or Social Security No.: _(Jy' ~~~~a?-~/_ ~\~~\ <br />