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<br />s <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />Notice of Intent to Continde Mining Operations <br />110(2) Annual Reoort <br />Florence Sand & Gravel <br />M-81-036 <br />Carestia Pit* <br />04/02/95 <br />CF/VFW <br />2 p 19gS <br />Div/sio~ o! iymera/s ~ Ge p)o9Y <br />$225.00 (Due on your Anniversary Date) <br />1. a. Permitted acreage: ~~ b. County where mine is located: <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? YES <br />Does this mine operate MORE or LESS than 180 days per year? MOR <br />Do you extract MORE or LESS than 70,000 tons of mineral or <br />overburden a year? MOR <br />3. Does this-mine have-a phased. .reclamation plan? <br />4. Total acres affected during the report year:* <br />5. Total acres reclaimed for the report year:* <br />6. Total acres in various stages of reclamation:* <br />YE <br />FveM[oar <br />E LESS <br />E LESS <br />NO - <br />.$ <br />a. Backfilled: O d. Topsoil replaced: v <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:* .J/I'~ <br />8. Estimated total acres to be affected in the next report year:* ,.~ <br />9. COMMENTS: <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: 1, ~a~~/~~~i%~r-,~f~ Date: a _/h -9.~ <br />Please type or print current contact name, mailing address, and phone number below: <br />Contact Name: 17~ Qe ds ,. m.e/ ~ <br />Company: F/ov e.~c~ ~~a1 Y- Cr/~ V'~/ <br />Address: ~9y S ~ S/• <br />Phone: (7/~ ),p7}-GoaS <br />Federal Tax ID No. or Social Security No.: ~ >>•y - / ~ Sz D L 3 7 <br />~ ~ 1~. <br />~" `ti <br />