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Notice of Intent III 999 IIIIIIIIII'lllll f Operations RECEIVED <br /> 110c Construction Materials Annual Report JAN 14 199 p <br /> Permittee Name: Tom and Regina Farmer D(YLSIO(I Of µf�f•�&(7euKKJy <br /> Permit No. : M-83-159 <br /> Operation Name: Gleason Pit <br /> Anniversary Date: January 30, 1998 <br /> Total: $225.00 (Due on your Anniversary Date)1. a. Permitted acreage: —L�� b. County where mine is located: /!(L�, <br /> loyl�''OS e <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 LE S <br /> 3. Does this mine have a phased reclamation plan? YE�S� NO <br /> 4. Total acres affected. during the report year: * <br /> 5. Total. acres reclaimed for the ropert year:* _ t �- <br /> 6. Total number of acres in topsoil replacement stage: Aj <br /> a. Average thickness of topsoil replaced: <br /> 7. Total number of acres seeded: Im <br /> a. List species seeded & seeding rate for report year on back <br /> 8. For non-phased operations provide dates extraction ceased: <br /> a. Date reclamation began: <br /> 9. The type and approximate quantity of fertilizers, organic material or soil <br /> conditioners used for the report year:* <br /> 10. Estimated total acres to be affected in the next report year:* <br /> 11. COMMENTS: <br /> Please show the location of the acreage for items 4 - 6 on your map**. Indicate <br /> the phases of the reclamation which have been completed, correlated with your timetable. <br /> For phased operations show dates extraction ceased and dates reclamation began. <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: <br /> J <br /> Please type or print �current contact name, mailing address, and phone number below: <br /> Contact Name: A Fo,yrw\'er Phone: (Cl ?O ) 3�7 -.��-3 <br /> FAX NO: (970 ) 3D7 <br /> /r - D350 <br /> Company: 0.r YY\�� 3 L mr S� <br /> Address: Ci <br /> C C, Q Iu 3 I <br /> Federal Tax ID No. or Social Security No. : i1 Ll 1 S O S y 1 <br />