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~ <br />t <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />total: <br />• • <br />Notice of Intent to Continue Mining'Operations <br />112 Annual Report a~r~l1/rl1 <br />Sand Creek Farms Inc ~kN 04 ~~~6 <br />M-92-038 <br />Sand Creek Mine* <br />09/01/96 <br />DWl~lur. of enmpiwlg r ,;-. <br />8550.00 (Due on your Anniversary Date) <br />1. a. Permitted acreage: S`y b. County where mine is located: ~,rr1 <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? YES (Cud <br />Does this mine operate MORE or LESS than 180 days per year? MORE LESS <br />3. Does this mine have a phased reclamation plan? ~ NO <br />4. Total acres affected during the report year:* , d <br />5. -Total-acres-reclaimed for--the report-year:* -- - --- ---- ~ <br />6. Total acres in various stages of reclamation:* <br />a. Backfilled: D d. Topsoil replaced: ~ <br />b. Graded: 0 Average topsoil thickness , <br />replaced: ~ <br />c. Seeded: ('j <br />List species seeded & seeding <br />rate for report year on. back <br />7. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* <br />8. Estimated total acres to be affected in the next report year:* s2 ~ <br />9. COMMENTS: <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 new map i necessary. However, you must state this fact above. <br />Signature: Date: f - / ' 9~_ <br />Please type or print current contact me, mailing address, and phone number below: <br />Contact Name: ~ Phone: {30~i) 6~,3 -~`/~% <br />Company: <br />Address: /~foy tio.~C~r~,,_ <br />_ U~~~ <br />Federal Tax ID No. or Social Security No.: ~~} ~~~~~,.5~7~l <br />