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, _ ~-•; <br />• <br />III IIIIIIIIIIIIIIII <br />Notice of Intent ~~ ~~„~ 999 ....._..y Operations RECEIVED <br />110c Construction Materials Annual Report <br /> EI/'ll 1 4 ~ggg <br />Permittee Name: Phillips County <br />Permit No. M-94-007 <br />Operation Name: Johnson Pit' Division of Minerals&Geology <br />Anniversary Date: May 23, 1998 <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 />1z <br />Contract Dates: (for 111 permits onlyl Beginning date: QI~ ~ 3i /7 <br />,/, / 1 <br />~y Completion date: C/h Ott/{/j/n //i PV/ ~ _ <br />a. Permitted acreage: 9. 7 b. County where mine is located: /////i S <br />Has this mine been granted TEMPORARY CESSATION STATUS? YES NO <br />Does this mine operate MORE or LESS than 180 days per year? MORE ESS <br />Does this mine have a phased reclamation plan? YES NO <br />Total acres affected during the report year:' ~~P rO k J~ <br />Total acres reclaimed for the report year:* (n rPSS <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 species seeded & seeding rate for report year on back <br />The type and approximate quantity of fertilizers <br />conditioners used for the report year:* <br />'Rec' ~Jzz( <br />• Gkt Uo~'7z~/ <br />organic material or soil <br />Estimated total acres to be affected in the next report year:` <br />i- 2 <br />cormiENTS: 8erna /~'cn /Gs/i c/ 5/o a //7 ,o ~~m/ l~ <br />' Please show the location of the acreage for items 4 - 6 on your map**. Indicate the <br />phases of the reclamation which have been completed, correlated with 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 through <br />6, then a new map is unnecessary. However, this must be stated above. <br />Signature: ~Q1){/i/ kl/~~Pw) Date: 5//2/90' <br />Please type or print current contact name, mailing address, and phone number below: <br />Contact Name: ~/Y <br />/I/ <br />~cl ,7 /~~/ <br />C2 <br />~~T <br /> <br />Company: // <br />/ <br />/ <br />~~ <br />~ <br />~l2/.//AtoA~ "- / <br />Address: ~2. / ~. `~~.. /iiH'O>i~ <br />~~~~~ ~a /rte z ~ <br />Phone: ( %~// 1 85`y- 3~~~ <br />FAX N0: ( ~/~) 85 5~- 3B// <br />Federal Tax ID No. or Social Security No.: P7 - ~ OO~ <br />