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~~ <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />2a <br />3. <br />4. <br />5. <br />6 <br />7 <br />8 <br />9 <br />~ III IIIIIIIIIIIIIIII ~ <br />,. 999 <br />Notice of Intent to Continue Mining Operations RECEI~JED <br />112 Annual•Report <br />Sanborn Sand and Gravel <br />M-84-094 <br />Gloria Z Mine* <br />07/17/94 <br />JUL i 9 1994 <br />L;vision c; A?irg,dS a Ubc10~y <br />$550.00 (Due on your Anniversary Date> <br />Has this mine been granted TEMPORARY CESSATION STATUS? <br />Does this mine operate MORE or LESS than 180 days per year? <br />financial Warranty) ~/y ~ ~ 2b. Permitted acreage <br />Does this mine have a phased reclamation plan? <br />Total acres affected during the report year:* <br />Total acres reclaimed for the report year:* <br />YES NO <br />MORE LESS <br />YES NO <br />/ ~ A c, <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 />Total acres in various stages of reclamation:* <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 TTtimetable. <br />** NDIE: 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, you must state this fact above. <br />Signature: ~'e~~Lji J_<~~i2ij't Date: ~-/ S -%y <br />Please type or print current contact name, mailing address, and phone number below: <br />Contact Name: <br />Company: <br />Address: <br />SANBORN SAND a reavl=l 1NC <br />P.O. Box 362 _ <br />X19.836-2406 ~' <br />Phone: <br />S fJ iL'.D ~2 1'i <br />Federal Tax ID No. or Social Security No 6 ~/-~~~ 7 ~6J~ <br />S~,vBv/2 N <br />~.y `~ <br />ry0 <br />~J~' <br />The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* __{~~ <br />Estimated total acres to be affected in the next report year:* L~ A' <br />