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- -- --- ~ <br />Notice of IntE III III III III IIII III ng Operations <br />110c Construction Ma[eria~~ .-..,nual Report <br />o~~ °~~ <br />g~CEIVE // ~ <br />UtC 01 1997 6 <br />Permittee Name: David Goss <br />11efe15d'~eoo9Y <br />Permit No. M-65-140 [1~,v~S~000~~~i <br />Operation Name: Goss Sand ~ Gravel <br />Anniversary Date: January 24, 1998 <br />Total: $225.00 (Due on your Anniversary Date) <br /> i <br />~ D l <br />d <br />~r~ ~~ g ~ <br />1. a. Permitted acreage: <br />b. County where m <br />ne ocate <br />: <br />is <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? 2 YES NO <br /> <br />Does this mine operate MORE or LESS than 180 days per year a <br />? MORE LESS <br />3. Does this mine have a phased reclamation plan? YES NO <br /> <br />4. Total acres affected during the report year:* ~~ <br />5. Total acres-rec la imeH fc+r the-rep^r+_ year:-*- - - - - -- - " <br />6. Total number of acres in topsoil replacement stage:~l/)C <br />_ l <br /> ~ <br />a. Average thickness of topsoil replaced: <br /> <br />~ ~ Q <br />7. Total number of acres seeded: r <br /> <br />a. List species seeded & seeding rate for report year on ~ /%//1~~ <br />bac ~ <br /> <br />6. <br />For non-phased operations provide dates extraction ceased: I~" ~' <br />~ <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 tote-l~pcres t be affected t~ h~ next report ye ar:* <br /> ~ ~J~~ _~ ~7//b~ <br />11. COMMENTS: <br /> <br />,~qq __ <br />v'I _ <br /> <br />` ~J <br /> <br />* Please show the location of he acreage for items 4 - 6 on your map* ndicate <br /> <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 subsitted a map whic,`. correctly depicts the current acreage iu items 'e through <br />6, then a new map ins- u_n'neJ~c//le ssary. However, this must be stet etd above. <br />Signature: W~'~4' Date: /~ <br />Please type or print cur/~rel nJtl cohntac/t/ti~name, mailing address <br />Contact Name: ~ I V'V l~ .Ll `--' DS~ <br />Company: C ~/. S ~~/Yl~V ,~ (7'/I~(j(°il <br />Address: ~7Sg ~r~COrl- /*+~•~1 <br />~.~JI 1. rn loo / a ~ ~~ <br />Federal Tax ID No. or Social Security No.: <br />and phone number below: <br />~r9 G~ <br />Phone: ( ) J~~ {'l~ <br />FAX NO : (~I l ) G E~3- 3JhD <br />