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ii iiiiiiiiiiii~iii • <br />' Notice of Intent to Continue Mining Orations <br />110(2) Annual Report <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />Lazy A Corporation <br />M-77-407 <br />Cedar Creek Pit* <br />01/30/93 <br /> <br />=`~~ ' '? 9~9, <br />MhVF_R.4LS ~ GrGt.. „ <br />$175.00 (Due on your Anniversary Date) <br />1. Has your mine been granted TEMPORARY CESSATION STATUS? YES NO / <br />Does your mine operate MORE or LESS than 180 days per year? MORE LESS <br />2a. Financial Warrant ° <br />Y~ ~`;.Oi~i~ - 2b. Permitted acreage: _ /Q <br />3. Do you 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 />6. Total acres in various stages of reclamation:* <br />a. Backfilled: d. Topsoil replaced: <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 />c~nditior.ers used for the report year:' <br />3. =itimd t?J tota' aCreS <br />T ,e.elL_{ ~t ~~ <br />* Please show the locat <br />Indicate the phases of the <br />your timetable. <br />to be affected 'n the neet r?port year:` _ <br />/ / ,~o - <br />ion of the acreage for items 4 - 6 on your nap**. <br />reclamation which have been completed, correlated with <br />*' P~~Tt: If there have not been any changes since the last annual reFOrt and you <br />previously submitted a map ich corn= tly depicts the current acreage in items 2 <br />tnr'ough 6, then a new ma ys unnece ,ary. However, 7ou must state this fact apove. <br />~ilnac~ e: Dace: <br />P'ea.? type or print current contact name. ma+' g address, anb onone numbe~ pel=;,: / <br />~ontact "lame: ~ a,J - Phcne: cc90~3 > ^,Jy9 -~~~~ <br />Company: x ~,r~ <br />Federal Tax ID No. cr Social Security No. '. ,Sa/- yd- ~~ ~% ~aJ <br />a\~ 1 <br />