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II IIIIIIIIIIIIIIII ~ . ~ Notice of Intent to Continue Mining Operation F(~FIV E D 112 Annual Report 1-~ OCT 10 ~ggy Permittee Name: Robert V Mayne Permit No: M-87-074 Operation Name: Dotsero Quarry* Divisi0nolmweiaissheWoyy Anniversary Date: 10/09/95 Total: $550.00 (Due on your Anniversary Date) 1. a. Permitted acreage: ~~ b. County where mine is located: ~i4a/ 2. Has this mine been granted TEMPORARY CESSATION STATUS? YES Does this mine operate MORE or LESS than 180 days per year? MOR LESS 3. Does this mine have a phased reclamation plan? YES NO 4. Total acres affected during the report year:* ~ O 5. .Total acres rec-laimed for the-repor-t year:" - - -_ - U 6. Total acres in various stages of reclamation:* a. Backfilled: d. Topsoil replaced: b. Graded: Average topsoil th Hess c. Seeded: replaced: List species seeded & seeding rate for report year on back 7. The type and approximate quantity of fertilizers, organic material or soil conditioners used for the report year:* 8. Estimated tot~aJl acres"/to be affected in the next report year:* ~- 9. COMMENTS: ~'(i,~t ~.c ~ ,t~o /~~~a.,.~a~.,~ .~~ ~~r ~ (~.e~,~,~ * 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. ** N~IE: 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 '~/ ~inew m/ap/is unnecessary. However, you must state this fact above. Signature,:== ;~~~ V ~19~-~.- Date: /J ~lo ~ C- Please type or print current contact name, mailing address, and phone number below~~ Contact Name: /~~Yl'),4-~,,,yf~ ~ Phone: (A~y ) 3a y -~ 73 ~ Company: n/ /c Address: C/~C'-' ~~cu ~ ~~ x//37 Federal Tax ID No. or Social Security No.: ~' y// ~ ~ 3