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~ <br />Notice of Inten III IIIIIIIIIIIIIIII ng~Operations UN 1 5 1992 <br />111,. ~~9a9~ ncvvi ~ <br />Mined Land <br />Permittee Name: Patrick L Cugnini Rerla.~~i;,,,, ~• ..^ <br />Permit No: M-86-061 '~ n <br />Operation Name: Cugnini Gravel Pit <br />Anniversary Date: 07/21/92 <br />Total: $175.00 (Due on your Anniversary Date) <br />1. Has your mine been granted TEMPORARY CESSATION STATUS? YES NO / <br />Does your mine operate MORE or LESS than 180 days per year? ORE LESS <br />~o-n~/. <br />2a. Financial Warranty: $ 3 8 aS ~ 2b. Permitted acreage: ~, 9 ~ <br />3. Do you have a phased reclamation plan? YES NO <br />4. Total acres affected during the report year:* f <br />5. Total acres reclaimed for the report year:* O <br />6. 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 />B. Estimated total acres to be affected in the next report year:* J <br />9. COMMENTS: <br />* Please show the location of the acreage for items <br />Indicate the phases of the reclamation which have been <br />your timetable. <br />** N~IE: 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, yo <br />Signature: <br />Please type or print <br />Contact Name: <br />Company: <br />Address: <br />Phone: (.~0.3> ~S~ 7'-~-.2 3od <br />Federal Tax ID No. or Social Security No.: Sad _ ~ O - OQ(~y <br />4 - 6 on your map**. <br />completed, correlated with <br />last annual report and you <br />current acreage in items 2 <br />~ must state this fact above <br />Date: ~ - ~-~~ <br />ent contact name, mailing address, and phone number below: <br />~'\~~a~- <br />~,\ <br />