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<br />iii~iniiiinuim <br />Notice of Ir. 999.,~,,,,,~ dining Operations <br />Annual Report <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />Harry D Covey <br />M-88-081 <br />Phil Sheridan Lode* <br />08!19!92 <br />RECEIVE' <br />JUL 241992 <br />DIVISIUr+ yr <br />MINERALS & GEC Cr •. <br />$60.00 (Due on your Anniversary Date? <br />Has your mine been granted TEMPORARY CESSATION STATUS? <br />Does your mine operate MORE or LESS than 180 days per year? <br />2a. Financial Warranty: $ %b B o ~ 2b. Permitted acreage <br />3. Do you have a phased reclamation plan? <br />4. Total acres affected during the report year:* <br />5. Total acres reclaimed for the report year:* <br />YES ~ / <br />MORE ~/ /LESS <br />YE5 <br />/~a vcr <br />f\/csk~ <br />6. Tonal 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 />conditioners used for the report year:* <br />8. Est mated total acres to be affected in the next report year:* <br />9. COMh1ENTS: /~~.~~,~,.~~es /I.~s •~b~ G~ari~~ ~n~ <br />~~ b.e Su~.~r~ce~.~, Nn ,~~~.. ~Ke.b s~~ <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 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 w map is unnecessary. However, you must state this fact above. <br />Signature: Date: 7~ Z~ -`~ ~ <br />Please type or print current cont name, mailing address, and phone number belo <br />Contact Name: ~aw~r ~~e~r ~ Phone: (363 > ~/~Z O(,S <br />Company: ~~i~ ~~ns_iota~ ~a~~ <br />Address: ~ C 2 <br />~ //a.~.. r ~~3a2 <br />~~ <br />Federal Tax ID No. or Social Security No.: ~Z%3cY-~/7f n~a. <br />