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iii iiiiiiiiiiiuiii • <br />999 <br />Notice of Intent to Continue Plining Operations <br />110(2) Annual Report <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />2a <br />3. <br />4. <br />5. <br />6 <br />7 <br />organic material or soil <br />-~ <br />8. Estimated total acres to be affected in the next report year:* / Q Cv e.. <br />9. COMMENTS: `~,`i~ <br />Larry L Chartier - <br />M-84-040 <br />Chartier Pit* <br />07/19/94 <br />$225.00 (Due on your Anniversary Date> <br />Has this mine been granted TEMPORARY CESSATION STATUS? <br />Does this mine operate MORE or LESS than 180 days per year? <br />Financial Warranty: $ / 6 3q ~ 2b. Permitted acreage <br />Does this mine have a phased reclamation plan? <br />Total acres affected during the report year:* <br />Total acres reclaimed for the report year:* <br />~'E~~~l li` ~ <br />~~l 191gg4 <br />L~:i;. ~cr ,. <br />~, ~;irc~.. , <br />Y <br />YES `~~ <br />M~ E. / ESS ` <br />i ~! <br />YES NO <br />./~_ <br />l~ <br />a. Backfilled: d. Topsoil replaced: <br />b. Graded: ~Q/'A.Ci Average topsoil thickness <br />c. Seeded: ~/ replaced: ~- <br />List species see ed & seeding <br />rate for report year on back <br />Total acres in various stages of reclamation:* <br />The type and approximate quantity of fertilizers <br />conditioners used for the report year:* <br /> <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 />** NQIE: 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 un~ sary. However, this must be stated above. <br />Signature: Date: ~ - /~ - <br />Please type or print current contact name, mailing address, and phone number below: ~ <br />Contact Name: ~ Phone: (~0~ > ~S~~fG_S ~ <br />Company: " ue <br />Address: a i 7~e R~ ~'~~ <br />~ru,cJ, ~o~o, Qo7~-3 ~}. <br />,~o <br />Federal Tax ID No. or Social Security No.: ~~~,~ -5~- yoS9 ~J~' <br />