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<br />Permittee Name: <br />Permit L7o: <br />Operation Name <br />Anniversary Date <br />Total: <br />..+,+-LVLVV I <br />•` • <br />III III III III IIII III <br />Notice of Intent t_ _____ 999. Operations <br />110 annual Report _ <br />Sacs County <br />M-95-019 <br />Mundell Estate No 32' <br />05/01/96 <br />F. ~~~ <br />a~r.~ivED <br />AUG ~ 5 1996 <br />Division of t,A~noralc E G of p~ <br />$225.00 (Due on your Anniversary Date) <br /> -1•~ <br />AC <br />i <br />~ <br />i <br />i <br />l <br />1. . <br />a. Perm <br />tted acreage: <br />b. County where m <br />ne <br />s <br />oca ted: <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? YES ~NO <br /> Does this mine operate MORE or LESS than 1B0 days per year? - MO Lfi SS <br />3. Does thi6 mine have a'phased re CldmatiOri plan? ~ YES NO <br />4. Total acres affected during the report year:• ~ ~,~ <br />5. Total acres reclaimed for the report year:w <br />6. Total number of acres in topsoil replacement stage: <br /> a. average thickness of topsoil replaced: <br />7.• Total number Of acres seeded: <br /> a. List species seeded 6 seeding rate for report year on back <br />8. For non•phased operations provide daces extraction ceased: <br /> a. Date reclamation began: <br />9. The type and approximate quantity of fertilizers, organic mater ial or soil <br /> conditioners used for the report year:'' <br />10. Estimated total acres to be affected in the nexe report year:* <br />ii. COMMENTS: <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 />•+ NDTE: If there have not been any changes since the last annual report and you <br />previously submiCted a map which correctly depicts the current acreage in items 2 <br />through G, then a new map is unnecessary. However, this must be stated above. <br />Signature: ~ ,fA-i 1 Date : ~- t~ -~1 (o <br />Please type or print current contact//-~name, mailing address, and phone number below: <br />contact Name: RR.~ ~•~~Pr lomm;cc', ur~ Phone: ('lIF ) 5a3- ~'~3~ <br />ff~~ ~ FAX NO: (7i9 )523 - 658 <br />Company= l.)ACFE nl.W~ <br />Address: U. ~ Flo <br />Federal rax ID tao. or social Security No.: o _I - ~nOn~~ T <br />