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, ,, , ~ ~ ~ III IIIIIIIIIIIII III <br />Notice of Intent to Crn'ti~Ye Mining Operations ~~` b L L- <br />110(2 )-Annual Report '~AR3 <br />0 199? <br />Permittee Name: Darryl D Stout <br />Mined <br />Permit No: M-79-103 Rp^r,_. Land <br />Operation Name: Amick* ~''~^ ~ , <br />Anniversary Date: 04/08/92 <br />Total: $120.00 (Due on your Anniversary Date) <br />1. Has your mine been granted TEMPORARY CESSATION STATUS? YES Q <br />Does your mine operate MORE or LESS than 180 days per year? MORE ~~ <br />2. Total acres affected during the report year:* ~_ <br />3. Total acres reclaimed for the report year:* <br />4. Total acres in various stages of reclamation:* <br />a. Backfilled: ~ d. Topsoil replaced: ~ <br />b. Graded: ~D Average topsoil thickness <br />replaced: Q <br />c. Seeded: C7 <br />List species seeded & seeding <br />rate for report year on back <br />5. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* T1 <br />6. Estimated total acrelIs to be affe//cted in t``he ~~n~ex))t r//e/,portlIyear:* ,~ <br />7. COMMENTS: L(Jz C~ ~ /liu~Y-1~2 ,~~f' L ~ ~'T-ii~~- - <br /> <br />* Please sho the location of~the acreage for items 2 - 6 on your map**. Indicate <br />the phases of the reclamation which have been completed, correlated with your <br />timetable. <br />NOIE: 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 new map is unnecessary. However, you must state this fact above. <br />Signature: Date: 3/,~~o%tz <br />Please type or print current contact name, maTiling address, and phone number below: ~ <br />Contact Name: ~ ~ ~Oa ` ~ Phone: (~3 > ,~~R ~~~ <br />Company: <br />Address: ~Tr /d~~ _ ^~~ <br />P~ <br />Federal Tax ID No. or Social Security No.: S2 4i -l~~ - ~~~~ ~ <br />