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<br />Pe_x-mittee Name: <br />Permit No. . <br />Operation Name: <br />Anniversary Date: <br />Total : <br /> <br />Notice of Intent to Continue Mining Operations <br />11 c Construction Materials Annual Remort <br />s <br />C?W <br />j-?i rklczNd <br />?'?')' l`14F5 o3g' <br />?( up Rl U ?S <br />S-/,3 /a8 <br />115- <br />1. a. Permitted acreage: b. County where mine is located- <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? YES NC' <br />Does this mine operate MORE or LESS than 180 days per year? LESS <br />3. Does this mine have a phased reclamation plan? ?'"S NO <br />4. Total acres affected during the report year:* 7 CY 75 <br />5. Total acres reclaimed for the report year:* - b <br />4L x R 0 <br />6. Total number of acres in topsoil replacement stage: _ ,%ffC9 x 3 0 <br />a. Average thickness of topsoil replaced: <br />7. Total number of acres seeded: N -? ?r P <br />a. List species seeded & seeding rate for report year on back <br />8. For non-phased operations provide dates extraction ceased: <br />a. Date reclamation began: <br />9. The tyoe and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report vear:* <br />10. Estimated total acres to be affected i:1.Lae..next repost._y= <br />11 . COMMFNTC <br />CC co e s +'bz.u e - b ee to Ge y?ec?ec?i +--6- i0 e? L 'P a (? i a TC0 i'v? ?k?ee <br />Please show the locattion of the acreage for items 4 - 6 or_ your <br />Indicate. the phases of the reclamation which have been completed, cor-eiated <br />your timetable. For phased operations show dates extraction ceased and dates <br />reclamation becran. <br />** NOTE: If there have not been anv changes since the last annual repc_t and you <br />previously submitted a map which correctly depicts the current acreage in terms 2 <br />trough 6, o., a new map is unnecessarlr. However, this must be stated above. <br />Signature: Date: Please t-ype ' _ print curre_*:.* ^ontact name, mailing address, and phone :amber below: <br />Contact Name : ; ?iCG,-- C. Phone: F_7LX NO : ?? '7' /l°oCoC O <br />Company: /?/_rK?CQ!!J?J (?'?CJCCCsf Z l?? <br />Address: <br />W-6 <br />Federal Tax ID No. or Social Security No : <br />^@ <br />