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<br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />2 <br />3 <br />4 <br />5 <br />6 <br />7 <br />• - .. _ • III1111111111111111 <br />Notice of Intent to"Cortti~nue Mining Operations <br />110(2) Annual Report <br />''CrF~1!ED <br />Charles Bud Keeling <br />M-91-081 SEP 26 '~ <br />Keeling Pit <br />09/23/94 <br />$225.00 (Due on your Anniversa"ry Date)~~~C~a~~atie0bgy <br />Has :his 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 <br />Does this mine have a phased reclamation plan? YES NO <br />Permitted acreage: ~ (~ -- <br />Total acres affected during the report year:* ~ ? <br /> <br />a. Backfilled: b 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 />Total acres reclaimed for the report year:* <br />Total acres in various stages of reclamation:* <br />The type and approximate quantity of fertilizers, organic m erial or soil <br />conditioners used for the report year:* <br />8. Estimated total acres to be affected in the next report year:* <br />9. COMMEIVTS: <br />* Pleasfa show the location of the acreage for items 4 - 6 on your map**. <br />Indicate tfie 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 />throw h 6, then/~a w~ m~ is]un~~essar~ owever, this must be stated above. <br />Signature: /'~,><~i/,47~~2%GZ;Gr~-/~ Date: 9- ~~- gam/ <br />Please type or print current co <br />n tact name, mailing address, and phone number below: <br />Contact Name: / <br />~~+ar~es ~~c~~~ Phone: (7/ y ) 7`/~-S3"~ <br />Company: <br />Address: S/6 Ei/,~.,;r,~- /~0(Q„c36/ <br /> ~(D 8/ 0 S~ ~o,°j~' <br /> ~ <br />Federal Tax ID No. or Social Security No. -~,~ ~- 3y~ - i ti <br />~3 c,~e <br />