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<br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />~~ <br /> <br />- III IIIIIIIIIIIII III N <br />Notice of Inten yyy ng Operation~l=C~'1~/fir-, <br />11000) Annua9'Report - <br />Harold Brandstadt ~AN181994 <br />M-86-004 <br />Brandstadt Rock Pit* <br />01/24/94 <br />Qn-~icn ct P,vner~,. <br />~~_ <br />~; <br />$225.00 (Due on your Anniversary Date) <br />1. Has this mine been granted TEMPORARY CESSATION STATUS? YES <br />- <br />Does this mine operate MORE or LESS than 180 days per year? MORE ~ <br />LES <br />2a. Financial Narranty: $ jyov= 2b. Permitted acreage: ,?. s <br />3. Does this mine have a phased reclamation plan? YES NO <br />4. Total acr es 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: D 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 <br />9. <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, then a new map is unnecessary. However, this must be stated above. <br />Signature: >~Q.,r1~% ,P>~~__,~~~j~ Date: ~- /.3 - <br />Please type or print current contact name, mailing address, and phone number beloy <br />Contact Name: aro~d (3vands~adl' / Phone: (3u3> Y7y-z//S9 <br />Company: l3ran~sT4~T r2a~lc ~r 7` <br />Address: Jo~/O G- ~ioad <br />Dz/7`a y Go%, yiN/6 <br />~\~ <br />Federal Tax ID No. or Social Security No.: S,~ i- ya-o y~3 \\a <br />Estimated total acres to be affected in the next report year:* p <br />