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iii niiiiiiiiiii iii <br />999 • <br />Notice of Intent to Continue Mining Operations <br />110c Construction Materials Annual Report <br />~~~~~~ <br />„,r_~ OFFICE ~~~ <br />f "~ ... <br />Permittee Name: Richard D Mott <br />Permit No. M-80-049 Il~,(rlf,fi' <br />Operation Name: Mott Gravel Pit* <br />Anniversary Date: February 18, 1997 <br />Total: $225.00 (Due on your Anniversary Date) <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />9. <br />10 <br />11 <br />a. Permitted acreage: ~ b. County where mine is located: <br />Has this mine been granted TEMPORARY CESSATION STATUS? <br />D025 this mine operate MORE Or LESS than 180 days per year? <br />Does this mine have a phased reclamation plan? <br />Total acres affected during the report year:* <br />Total acres reclaimed 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 />YES NO <br />MORE LESS <br />YES NO <br />a. List species seeded & seeding rate for report year on back <br />For non-phased operations provide dates extraction ceased: <br />a. Date reclamation began: <br />The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* <br />Estimated to~t/aIl acres toQbe ~ajffected in the next re/p~ort year:+ <br />COMMENTS : / //1 2r~~ Iw l~l~~. G~-G2i_ -~ I ~ 1 n /i~~ .,,~..~ !.(~wl~ <br />.n - r <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. For phased operations show dates extraction ceased and dates <br />reclamation began. <br />** NOTB: 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 unnecJessary. However, this must be stated above. <br />Signature~,~~/.,~ Date: _ /,~ ~/D ~4~ <br />Please type or print current contact name, mailing address, and phone number below: <br />contact Name: ic- .a,i~ ~. A~,~~ Phone: (`T7U) 9a/ 933 <br />I/ ff FAX NO: ( ii ) // <br />Company: \~i4'ft1L~ A~ <br />Address: ~~.S d-t7 L°~F ~1-I- ~~.-~' ~n <br />~gtiP~ ~ . 8/yam/ <br />I <br /> <br />Federal Tax ID No. or Social Security No.: o~7o2y ,3~ oC /8~ <br />