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r <br />N.~L ICt of Intent Lo ConL tnu2 Mtning UpetaC ions <br />l l2c Construction Ma Ce vials Annua.i ftePnrt <br />ame: V,l l~'O (iUnnltiOll COIlC12L2 Ulv <br />M-is-lei <br />ame: Vadcr Pit <br />Date.: OCCGbr_L- O5, r~ a b <br />$550.00 (DCU~e on your Pdini ve rsary Date) <br />Permitted acreage: ~-? <br />b. CounCy whera in ulr• is located. v <br />2. I!as this mLne been granLc~i 'PEM FORAftY CG$SAT 10N STATUS? <br />Does this mine ope Late MORE or LESS than 180 days per yeah) <br />3. Does this mine helve a phased reel arnaL ion plan? <br />4. '!heal acres at frc~r,.d rlin-I ng the repor[ year:* <br />5. _ ..i ul.:'~~n ,..:i ,~ro~,i fl~i Cite report veur:` <br />6. ,'~:„1 number of acres yr topsoil replacement stage: <br />a. Average Lllicl:ncss of topsoil replaced: <br />"7. 'Cotal numbeL uC ,ICres seeded: <br />a Lisc spec L?s seeded h seed Lng rate foL report year on ha=1< <br />8. Gnr non-pll~sed uperations provide dates extraction ceased: <br />a. Date Leclamat LOn beg~uz: <br />9 <br />The type and approxtmatc quantity of fertilizers, organic material <br />..ondzciouers used fur thz sport year:" <br />10 <br />Ii <br />~~I II~III~I~I'~~ I~~ <br />959 <br />RECEIVE!' •~ i' <br />OCT 0 9 2001 <br />c <br />Division of Minerals and Geology i <br />r <br />(( ~ <br />\V~ J <br />I~. J: i~ (I,,GSS <br />\'~ ' <br />~~r <br />-'C' ,~ <br />~~ ~~.,~ <br />~- -- <br />~~1 <br />Es[imated to(`.11 a.:t es Lo be fected Ln the next repox:t year <br />ror~~F,N~'.ti 1~ \ 'C1 Y1~ ~~\ V1 R \ h <br />~~•~-~~ <br />* Please show tLc lucaCion of the acreage for items 4 - 6 on your mat.' ~i,d t~,~~ <br />the phases of the reclamaL LOn which have been completed, correlated with yor, ii~:~ll_11 <br />For phased ope rarions show daces extraction ceased and dates reclamation be; <br />•• NOTE. _[ the l-c have nut Ueail .Inv cha nyes s.nce the last annua] report al ~~ , <br />prey^_r-us_, ~;hmtt~.cd ~, m~lp worth con~ectly azprcts the current acreage rn it~ ...~c•~.,n <br />6, then a aew snap is w~nccessary. However, this must be staled above. <br />~- - ~;o 01 <br />Siyna[ure: Dace: <br />Please typz or pL.lnt current contact na,ae, mailing address, and phone number ~ I:~ <br />~ ~ <br />Contact N.Ilna: ~ Phone: ~ •~ i~ .~. ~ i• <br />~ C <br />Company: (~ '~ C_C~ Y'~~. FAX N0: ! O1 ~~'~~~\~~_ ~l \~S~ <br />Address: \~Q ~e;xy~~j~ '. <br />Federal 'I'd:; ~C~ Ne or Social Secui LCV No.: ~ T O ~ S J <br />1. a. <br />