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. <br />~~~ I~~I~~'~~II~~'~~ <br />sss <br />• Notice of Intent to Continue Mining Operations RECEIVE D <br />112 Annual Repor-..~ <br />Per•mittee Name: Mathias CUncrete Inc JAN 1 1 1995 <br />Permit No: M-77-140 <br />h~eration Name: N Farm Rd Pit No 1' DivisionotMineralsttGeology <br />anrr~versary Date: 01/15/95 <br />Total: 8550.00 (Due on your Anniversary Date) <br />-, <br />1. e. Permitted acreage: b. County where mine is located: '~l' ~,~ 1 ',,c- <br />Z. Has this mine been granted TEMPORARY CESSATION STATUS? YES ~~ <br />Does this mine operate MORE or LESS than 180 days per year? MORE LESS , !~ <br />3. Does this mine have a phased reclamation plan? CYES~ NO <br />~:. <br />a. Total acres affected duri^ the report year:` ( i <br />5. Teal acres reciairaeo r`or [ne'?eport year:' ~ _~1 <br />b. 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 />7. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:' <br />8. Estimated total acres to be affected in the next report year:' -L~ <br />9. COMMENTS: lJF ivy %~ . ``lr a trt~ ~ e/c° il..-e! /: e~ <br />/.' ./~,1; ~. .n,...Q ~ /..~ ., o e .~ ~/ .! /w lJ / ~k_ ~ ,F /'n ,. r~~ ~i . ~n.~ H 6 ll~lW <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 />~~our tti[[metable. <br />'• ~YQIC: If there have not been any changes since the last annual repu~t anb you <br />previously submitted a map which correctly depicts the current acreage in items 2 <br />[h rough 6, then a new map is ecessary. However, you must state this fact above. <br />-~~ ~ ~ `.. ~ <br />Signature: •~' .o Date: ~~.`" ~_ <br />Please type or print current contact name, mailing address, and phone number below:_ <br />Contact Name: <br />Company: <br />Address: <br />Federal Tax ID No. or Social Security No <br />/Phone: (~ /~>~ ~~l - j '% _'~- <br />~~~~ <br /> <br />3 ~`~ <br />t <br />~P~, ,1,~ <br />