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o[ice of Intent to Continue hlininy Uper.tlinn~, <br />I12 Annull Report <br />Permittee Nance: RoUerl V Mdyne <br />Permit No: M-A/--U14 <br />Operation Name: Dot;ero Quarry' <br />Aunivei •.ary Date: /~/9~oti <br />Total: '1~~~'~OU cUue on your Anniversary Dater <br />I. a. Permitted ac:rcagl•: _~7O _._ U. County where mine i'; Y,IC;rtad: t~'~ Y'~ <br />2. Has this mine been granted TEMPORARY CESSATION STATUS! YES <br />Dues this mine operatz MURL or LESS [hdn rtiU days {;t•r yearn AA1ii~ tCSS <br />3. feces this mine have a pndsed reclamation plan? rc~ NU <br />4. Total acre; affected durJnq the report year:` 3~ _ <br />~~ -~- <br />!i ToLtl acres reclaimed for the report year:' 6 _ <br />V h,lal acre: in various •:tage; of reclamation:' 3 7 <br />.1. Bacl.iilled: _ _~. -- d. Ltp:oil repldt:ed: ~ ~ .. <br />b. C;raded: ~- Ave, aye top>ui S sl l.,n„2•„ <br />replaced: <br />[. Seeded: _ __0- - - <br />List species seeded ry seeding <br />rate for report year on back <br />]. The type dnd approximate quantify of fertilni/zers, w ydni[ material ~~r soil <br />conditioners used-for the report year:' ~/PJ~I_~°_. ;%'~.... ____ <br />R. tbtiniatE!tJTtut,+l ac, es to be affecteJ in the next report ye<u:' ~- . <br />'J . r:OMML N (S : yywv_i ~ _T~ _ ~s~ _I y~~r ~~ _~ta~~._. /~~,~r_a_~Ed ---`1"`~~i <br />~OV)7 ~~_ ~n 1 a I /p ~ N ,~r~~ r `~~2~~~M 7/f ~o .~il'h <br />` Please show the location of the acreaye for items 4 - V on your map " . <br />ludicate the phases of the reclamation which have been cumpleteJ, cv~~cl,,tr,l ..~ul <br />ycwr tt[[imetabJe- <br />NU1L: Ir there IIJVe ro,t been any changes since [he last [ulnu,ri r~~p,~i t anJ ~t,u <br />Sli P.v l~7ltSly •~,llhnlifteil a ml,ip which COrr2Ctly depl[ti f11B rllrrent •u:i r:, IJ ni it~'m~. _ <br />Llnouylt 6 tllep d new nian i~, l ule[l'~,;,try. However, y'!Il unr.t `,talc tni ta~:t .ul,~vr. <br />Date: <br />I'Ica'.d fypc ~~r pi in Curl cnt [~.m ta[f uame, mdiliny aJdr ~~.•„ ,unl pl,~.•nr n~nubrr Lclvw: <br />~,~,nlail IVawe: ,~J,,,~ ~./UILw/fit. 1'h~,nc' 770-S~f-77~~3 <br />Company: - _--- <br />~~~~ , co ~~63 7 <br />federal Tax ID Nu. or ;,dial security wo.: _ -- ~~~/~~~3Gz7 .__.._. ._. <br />