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r <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 />r Notice of Int~ III III III IIIIIIIIII f{ng Operations <br />Permittee Name: Richard D Mott ~ `lc;';~1 ~p~ <br />Permit No: M-80-049 ~ -'1 <br />Operation Name: Mott Gravel Pit` ~~BZ <br />Anniversary Date: 02/18/93 ~ ~ lgg~ <br />Total: $175.00 (Due on your Anniversary Date) M/NFR ~~~,,, <br />A~S ~~ .:r <br />1. Has this mine been granted TEMPORARY CESSATION STATUS? YES NO'CC/ <br />~,, <br />Does this mine operate MORE or LESS than 180 days per year? MORE LESS <br />2a. Financial Warranty: S ~Srrv 2b. Permitted acreage: q ~ti~~ <br />3. Does this mine have a phased reclamation plan? YES NO <br />4. Total acres affected during the report year:' ~'7 <br />5. Total acres reclaimed for the report year:' d <br />6 Total acres in various stages of reclamation:• <br />7 <br />The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:' <br />Estimated totals acres to be affected in the next report year:' <br />COMMENTS: 0 /n il-r _~~,.,~ o ~,/,._..a`~ //LG <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: ,~:~e..O~Q {~~.~~ Date: ,~~p /~, ~ <br />Please type or print current contact name, mailin~ r-ess, and phone number below: <br />Contact Name: ~o~,P~r ~a-r-~~ ~j Phone: (.~U3> 7~~1 -733 <br />Company: 2,g,,~c <br />Address: ~ <~ ['"/e~q ,-/-=orl2 /~,l <br />~' "\ ~~OJ <br />Federal Tax ID No. or Social Security No.: _ _ _ _ _ _ _ __ a\~ <br />