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<br />Permittee Name: <br />Permit No. <br />Operation Name: <br />Anniversary Date: <br />Total: <br />1. <br />2. <br />3. <br />4. <br />5. <br />ti. <br />7. <br />0 <br />9. <br />10 <br />11 <br />No o£ Intent to Continue Mining O bons <br />Hard Ro^k/Metal and UMO Annual ~or[ <br />Sanborn Sand and Gravel <br />t4-84-094 <br />Gloria 2 Mine* <br />July 17, 1998 <br />$550.00 (Due on your Anniversary Date) <br />a. Permitted acreage: ~ ~', b. County where mine is located: A ~' <br />Has this mine been granted TEMPORARY CESSATION STATUS? YES NO R~' <br />Dons this mine operate MORE or LESS than 180 days per year? MOR LESS 5'- <br />For llotz) Operations: Do you extract MORE or LESS than ~'~~ ~8 <br />70,000 tons of mineral or overburden a year? AMORE LESS <br />Does this mine have a Phased reclamation plan? / ES~~NO~ <br />Total acres affected during the report year:' ~~ ~~ " ~^ ~rL~ <br />Total acres reclaimed for the report year:"G_~-~~'OJ~O~_~_~yy~rc~~4~-''^""_ _- <br />Tutal number of acres at topsoil replacement sta`gvm e: <br />a. Average topsoil thickness replaced: <br />'Petal number of acres seeded: <br />a. List species seeded fi seeding rate for report year un ck <br />F~~r non-pf,ased operations provide dales extraction ceased: N~ <br />a. Dates reclamation began: ~[ z% <br />The t}'pe and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:' `~` <br />Estimated totaly~acres~to be affected in the next report year:..'/ S' G~f><-~-- <br />COMMENTS: ` ~3edd "~ ;~Q/1,WY)~__ Ti('~.Q.zt-a/C~..O.rl rF-- ~L+O'Y~_ ~~ <br />t ,(.~M Imo.. - - <br />' Please show the location of tt,e acreage for items 4 - 6 on your map". Indicate <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 />'• NOTB: If there have not been any changes since the last annual report and you <br />previously submitted a mag which correctly depicts the current acreage in items 2 tl,LO„gh <br />6, then a new map i~s_ ~uY/n~necesys~ary. / However, this must be stated above. 7/~~, 9 <br />Signature: _~Py'y"~`~la-!? _.6i~=%r2~'Y/`, Date: ~ V ~ / <br />Please type or print current contact name, mailing address, and phone number below: <br />contact Name: S,~JNDR R ~ Sfl~sOR,a~ Phone: 1 "/~ 9 I Op.3 b " °?~j /y~~ ~/ <br />FAX NO: ( ~~ / 1 8,~ ~ ~ ~C 7 Df7 - Sd~ <br />company: ~OA NBv R rv SAND w ~ii~4 ue ~, ~ rv C , ~ 2n~ }b Fy9 Y ~'~" <br />Address: f i7 K o k 3 6 Z <br />~g,R~tAT Leo. ~fo~Y~o/ )r <br />Federal Tax ID No. ur Social Security No. ; u 7 ~ ~ ~ ~ y~ <br />SANBORN SAND & GRAVEL, lNC. <br />rpP.0. Box 362 <br />fxi719~~ 2 06~ <br />