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<br />PE_^.nittee Name: <br />Per•cti t No . <br />Operation Name: <br />Axuiiversary Date <br />Total: <br />. 1 <br />2 <br />3 <br />4 <br />5 <br />6 <br />7 <br />Notice of Intent to Continue Mining Operations <br />C.._~~l lti(~a Construction Materials Annual Aeoort <br />/ Y I ( 0.-m cam- ~ h C- <br />~/9~'~o p,-f-~ <br />g~/~~,6 <br />REC~l~~C <br />aus o ~ z~as <br />Division of Minerals and Daology <br />a. Pe-Witted acreage: ~_ b. County where mine is located <br />Fins this mine been granted T~S?PORP.R° CESSATION STATUS? <br />Does this mine overate MORE' or LnSS than 180 days per year? <br />Does this mine have a phased reclamation plan? _ <br />Total acres af'_ected during-the'-report year:x <br />Total acres recla'_med for the report year:* <br />Total number of acres in topsoil replacement stage: <br />a. Average thickness of topsoil replaced: <br />Total number of acres seeded: _ <br />a. List spec_es seeded & seed'_ag rate for report year on bac?c <br />~/ 2va <br />yES NC <br />MORE Lr-SS <br />yES NO <br />~~ <br />8. For non-phased operations provide dates extract-_on ceased: _ <br />a. Date reclamation began: <br />4_ The twe and annroximate quantity of fertilicers, orcanic material or soil <br />conditioners used for -the report year.* <br />lt). EStlmated t t=~ acres ~,° be ~r=EC42d„in.Lhe..nE t repor~ year:. <br />~~ _ . .. <br />11 . COMM n7mc , _ .. <br />~Q.~~ • <br />' Please show the locat^_on of the acreage for iteISls 4 - 6 cn your rip'°. <br />Indicat>_.t'_'~e phases of the reclamation which have been completed, correlated wit__ <br />your timetable. For phased operations show dates .extraction ceased and dates <br />reclamation began. <br />** NOTE: If there have not been any chances since the_last annual repcrt and you <br />previously submitted a man which c~rrectiy deniers the current acreage te^is 2 <br />trsough 6, ~ a new map iRunnecessar~~ ..°.owever, this must be st/ated above. <br />Signature: - N ~---~ Date: c3 X10 <br />Please type or print~c~ur~ent ^^_ntac~tr,nla~me~,'lmailing add=ess, and a/~hone p_^_'::mber beplYOw: <br />Contact Name: olU~ .t..~ ~`X^4'l~-v - Rhone: ~1' by~~~~/99OJ ~/ <br />AX NO : l ' F ~ ' o~~ _ b <br />Company: <br />Address: <br />Federal Tax ID No. or Social Security No.: ~"~ ~ /`~ ~/ u ~~ <br />~@ <br /> <br />