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, y Permittee Name: Permit No: Operation Name: Anniversary Date Total: ~ III IIIIIIIIIIIIIIII ~ RE°~'~~° 999 D£C ~ Notice of Intent to continue Mining Operations ~ T9~ 112 Annual Report Centennial Materials Inc DlvisronofMmerals&Geology M-82-155 ~ /sb /~ Fountain Pit ' ~~~ 777~~~ 12/31/94 $550.00 (Due on your Anniversary Date) 1. a. Permitted acreage: X17 b. County where mine is located: ~ /"050 2. Has this mine been granted TEMPORARY CESSATION STATUS? YES Does this mine operate MORE or LESS than 180 days per year? ~E LESS ~ 3. Does this mine have a phased reclamation plan? YES 4. Total acres affected during the report year:* l;.y 5. Total acres reclaimed for the report year:* ~ 6. Total acres in various stages of reclamation:* a. Backfilled: O d. Topsoil replaced: v b. Graded: D Average topsoil thi ckness c. Seeded: ~~ replaced: G List species seeded & seeding rate for report year on back 7. The type and approximate quantity of fertilizers, organic mater ial or soil conditioners used for the report year:* G 8. Estimated total acres to be affected in the next report year:* _~ °° 9. , ~o a COMMENTS: •JcNw.,rY~ ~n~tl. ~n /7~iv,S nvr loc~o,,,,,H crg ~h 19R5- S * Please show the location of the acreage for items 4 - 6 on your map**. Indicate the phases of the reclamation which have been completed, correlated with your timetable. "* NOTE: If there have not been any changes since the last annual report and 'you previously submitted a map which correctly depicts the current acreage in items 2 through 6, then a ne ap is unnecessary. However, you must state this fact above. Signature: ~ ~ Date: I~ r~ su Please type or print current contact name, mailing address, and phone number below: Contact Name: SUFI-4~c,~,`S /~' Phone: (~~`+ ) 34a-`l~c' ---- Company: _~ ~~,s-l ~~l ~~~,,~ ~ fir. Address: ,~~~~ Va~lr, ~ ~EC2L1~+ ~~o l~~,~(r: ~ ~ Fain Federal Tax ID No. or Social Security No.: .~~ -l~ S~.^rl~ a