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• <br /> Notice of Intent to Continue Mining Operations R FIVE <br /> 112 Annual Report 20 19N <br /> Permittee Name: Blake Min Company <br /> Permit No: M-77-248 in t�ivrs?an pl tlfimerats Ueolegy <br /> Operation Name: C JD-5* <br /> Anniversary Date : 06/16/94 <br /> Total : $550.00 (Due on your Anniversary Date) <br /> 1 . Has this mine been granted TEMPORARY CESSATION STATUS? YES NO <br /> Does this mine operate MORE or LESS than 180 days per year? MORE LESS <br /> 2a. Financial Warranty: $ 2b. Permitted acreage: <br /> 3. Does this mine have a phased reclamation plan? YES NO <br /> 4. Total acres affected during the report year:* <br /> 5. Total acres reclaimed for the report year:* <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 /> 8. Estimated total acres to be affected in the next report year:* <br /> 9. COMMENTS: 01 IVe 4p) lL AaJ- bV - IVO IV,,P- ' L_A- 5� .. �AIC <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 /> 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, the(nn'a new <br /> �Jmap <br /> nisunnecessary. However, you must state this fact above. <br /> Signature: �(`/�t :: X �A�X �� Date: G 7/ <br /> Please type or print current contact name, mailing address , and phone numberbelow: <br /> Contact Name: ��/�u , { �, �//} kE / Phone: (3d3 > p�j y— 77;5 <br /> Company: �A /`P �..viiva Co• +S <br /> a 130uss 'b G a3G <br /> Address: <br /> Federal Tax ID No. or Social Security No. : <br />