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<br /> <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 />YES NO ~~ <br />MORE ES <br />YES <br />~d~ <br /> <br />a. Backfilled: ~ d. Topsoil replaced: ~~''~~ <br />b. Graded: ~ia ~ Average topsoil thickness <br />c. Seeded: onr~ replaced : fi/o,v~- <br />List species seeded & seeding <br />rate for report year on back <br /> <br />Notice of Intent td~Continue Mining Operations <br />110(2) Annual Repdr•t <br />Melvin R Gydesen <br />M-82-020 <br />Lucky Strike Lode* <br />05/25/93 <br />RECEIVEp <br />MAY 12 1993 <br />Division of minera+s ~ Geology <br />$175.00 (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: $ ~r, Q d 1, ~ 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 />Total acres in various stages of reclamation:* <br />The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* /T/o>/ ~- <br />8. Estimated total acres to be f <br />af <br />cted in the <br />e next report year:* <br />9. COMMENTS: ~_ucc0~ ~ir-D ., <br />~ <br />n <br />LX~ a,/trw~~ ~KaaJ'{~i 7vr,~',,.o~~ <br /> <br />please show th location of the acreage for items 4 - 6 on your ap <br />Indicate the phases of the reclamation which have been completed, correlated with <br />your timetable. <br />** NOTE 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 unnecessary. However, this must be stated above. <br />Signature_-!/~'C~-w---/~!i0~-S~~ Date:~Yl~ /~~ G9 ~3 / <br />Please type or print current contact name, mailing ad~ess, and phone number below'` <br />Contact Name: ~~~"rni l2 6-ydPse~/ Phone: (3°3 >Cv`al-o~-r399 <br />Company: fi~~~'CT s TYC, ire <br />Address: ~ / <br />Federal Tax ID No or Social Security No 37~^3;~^,.SY:S"OS~ ~,1 `~ <br />~.. <br />