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` <br />III III III III IIII III <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />• ' • <br /> <br />~.\ <br />Notice of Intent to Continue: Mirfi~g Operations ('E/~/~O <br />110(2) Annual Report JqN ~ <br />Richard D Mott c ~'~'sio~ y 1 1996 <br />M-80-049 "" ~~ar <br />02/18/95ve1 Pit* d~saVeo/p9y <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? MORE <br />Do you extract MORE or LESS than 70,000 tons of mineral or <br />overburden a year? MORE <br />3 <br />4 <br />5 <br />6 <br />7 <br />Does this mine have a phased reclamation plan? YES <br />- Total acres affected during the report year:* - <br />Total acres reclaimed for the report year:* <br />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 />The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* <br /> <br /> ' <br />- ~ <br />~. <br />` <br />at• <br />~: <br /> <br />~~~J49 <br />Cam" <br />ES <br />C "~i <br />_~ <br />8. Estimated total acres to be affected in the next report year:* <br />9. COMMENTS: <br /> <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 />** NQIE: 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 w map is unnecessary. However, this must be stated above. <br />Signature. ~ ~~p f~l~-Gy` Date: i~ S <br />Please type or print cur"r~ent~contact name, mailing address, and phone number below <br />Contact Name: /~ pyc~•g ~ Phone: c~io~) 'td2~- ?33 r' <br />Company: <br />Address: <br />~Sov Clerlw Fvr-k 2iQ <br />1~1~+-~ ~ r ~ ~ ~ -r a- ~ <br />)PN ~ 3 1~' <br />~'~ <br />l <br />Federal Tax ID No. or Social Security No.: yro2~l 3Fr o2l?S.Z <br />