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.~ ~ III III IIIIII IIII III • <br />- Notice of Intent to Continue Mining Operations I~FG`~ <br />110(1 ) Annual Report ~ ~1AY 12 ~~FC, <br />Permittee Name: Westley Potts 1995 <br />Apnrver~aryaDate: 06810Q95yon Mine* OiV+s+°qO~M+nerd~SBGeplOJ <br />Total: $75.00 (Due on your Anniversary Date) <br />1. a. Permitted acreage: h( b. County where mine is located: ~~1 0~ ~' ~ a~'+~ <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? YES NO ~ <br />Does this mine operate MORE or LESS than 180 days per year? MORE LESS / <br />Do you extract MORE or LESS than 70,000 tons of mineral or <br />overburden a year? MORE LESS v <br />3: Does this mine have a phased reclamation plan? YES NO t/ <br />4. Total acres affected during the report year:* ,~,,uv~-~~{ <br />5. Total acres reclaimed for the report year:* ~~ ~,yv~ <br />6. Total acres in various stages of reclamation:* <br />a. Backfilled: C~ d. Topsoil replaced: _~ <br />b. Graded: U Average topsoil t ickness <br />c. Seeded: replaced: <br />List species seede~ing ~ ~ ~,,,,..~~ <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:* „ ~..>kk. <br />8 <br />9. <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 new map is unnecessary. However, this must be stated above. <br />Signature: ~ Date: /~I~~y6' <br />Please type or print current contact name, mailing ad/dress, and phone number below: <br />Contact Name: /~J ~,57~) e y Pp~~-S `~ Phone: (~_]b > ,jJJ- 7.33 y / <br />Company: .~~lr'_n_~-7~_,r-n_ ~ l'1A~~~1/~~/» <br />Address <br />c 5 G y ~%3.~ ~ <br />F•iieral Tax ID No, or Social Security Mc .50~~-,~0-~',3y/ <br />Estimated total acres to be affected in the next report year:* ~iLG'~`~ <br />