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~ ~ ~ III~IIIIIIIIIIIII III <br />Notice of Intent ~ sss .., Operations <br />112 Annual Report <br />Permittee Name: Robinson Brick Company R E C E I V E~ <br />Permit No: M-84-076 <br />Operation Name: DDD r~~~gp 1892 <br />Anniversary Date: 08/09/92 <br />Total: $490.00 (Due on your Anniversary ~~Isv10NOF <br />NEAALS 8 GEOLOGY'' <br />1. Has your mine been granted TEMPORARY CESSATION STATU~ YES NO <br />Does your mine operate MORE or LESS than 180 days per year? MORE LESS <br />2a. Financial Warranty: $ 2b. Permitted acreage: <br />3. Do you have a phased reclamation plan? YES NO <br />4. Total acres affected during the report year:* ~ z- <br />5. Total acres reclaimed for the report year:* _~ <br />6. Total acres in various stages of reclamation:* <br />a. Backfilled: Z. ~ d. Topsoil replaced: <br />b. Graded: Z, ~ Average topsoil thickness <br />c. Seeded: replaced: <br />List species seeded & seeding <br />rate for report year on back <br />7 <br />The type and approximate quantity of fertilizers <br />conditioners used for the report year:* <br />8. Estimated total acres to be affected in the next report year:* <br />9. COMMENTS: /moo ~ <br />* Please show the location of the acreage for items <br />Indicate the phases of the reclamation which have been <br />your Ttimetable. <br />** NOTE: If there have not been any changes since the <br />previously submitted a map which correctly depicts the <br />through 6, then a new map is unnecessary. However, yo <br />u <br />4 - 6 on your map**. <br />completed, correlated with <br />last annual report and you <br />current acreage in items 2 <br />~ must state this fact above, <br />Signature: Date: //2 ~~~ Z <br />z~ <br /> <br />Federal Tax ID No. or Social Security No.: I"l^Y'3\\ <br />Please type or prinat,,current contact name, maili/ng address, and phone number belo <br />Contact Name: ~~/,~~,E L~i,Dic ~ / Phone: (~O?,) 78(- 5~ Z. <br />Company: /CD6iKS on CTv ~ ~G Coo <br />Address: 13,u sZ-~3 <br />,~~,~,v d~.c G~ 8d z ~ 7 li n ,./ ~U <br />\1 <br />organic material or soil <br />