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ECEIVED <br />Notice of Intent ~o Continue Mining Operations <br />__ 110(2) Annual Report ~ MAR 1 1993 <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />2a <br />Q 3. <br />~~` 4 . <br />5. <br />," 6. <br />7 <br />8. Estimated total acres to be affected in the next report year:* ~ODm~~ <br />9. COMMENTS: Ifin..v <br />Benny Jensen <br />M-91-009 <br />White River S & G* <br />04/17/93 <br />Division of Minerals & Geology <br />$175.00 (Due on your Anniversary Date) <br />Has this mine been granted TEMPORARY CESSATION STATUS? YES <br />Does this mine operate MORE or LESS than 180 days per year? Gl~~ <br />Financial Warranty: $ 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 />NO <br />LESS <br />YES NO <br />Total acres in various stages of reclamation:* <br />a. Backfilled: 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 />The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* <br />* Please show the location of the acreage for items <br />Indicate the phases of the reclamation which have been <br />your timetable. <br />** NOTE: If there have not been any changes since the <br />previously submitted a map which correctly depicts the <br />through 6, then a new map is unnecessary. However, th <br />4 - 6 on your map**. <br />completed, correlated with <br />last annual report and you <br />current acreage in items 2 <br />is must be stated above. <br />Signature: ~,, p,~,~~ Date: 07-026-9.~ <br />Please type or print nt contact name, mailing~ddre`ss, and phone number below <br />Contact Name: <br />Company: <br />Address: <br />~- / Phone: (30.3 ) 8~d -.51~~d <br />~+~ <br />Federal Tax ID No. or Socia~ Security Nv _ a~- _// ~~ 9 902 _ <br />~a3 <br />3~a1 <br />