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f <br />Notice Of Intent to Continue Mining Operations <br />11 c Construction Materials Annual Report <br />Permittee Name : <br />Permit No. / "Y?W_ p/ <br />Operation Name: m?4/ttb? f <br />Anniversary Date: Total: <br />1• a• Permitted acreage: <br />- b. County where mine is located: 6A?Q <br />2• Has this mine been granted TEMPORARY CESSATION STATUS? <br />YES NCB <br />Does this mine operate MORE or LESS than 180 days per year? <br />MORE ESS <br />3. Does this mine have a phased reclamation plan? tr: <br />S NO <br />4• Total acres affected during the report year:* <br />5. Total acres reclaimed for the report year:* <br />6. Total number of acres in topsoil replacement stage: <br />a. Average thickness of topsoil replaced: _ <br />7• Total number of acres seeded: <br />a- List species seeded & seed;ng rate for report year on back <br />8• For non-phased operations provide dates extraction ceased: - <br />a. Date reclamation began: <br />9• The type and approximate quantity of fertilizers, orca_*iic material or soil <br />conditioners used for the report year:* <br />10. Estimated total acres two be af_ec;ed in.the-next report year .._. <br />/'? y/. .. .. .. .... y <br />'11 CO_M.MEWTC: <br />Please show the location of the acreage for items 4 - <br />6 on your -ap>* <br />Indicate. the phases of the reclamation which have been completed, correla-ed wi*, <br />your timetable. For phased operations show dates extraction ceased and dates <br />reclamation began. <br />** NOTE: If there have not been any changes since the last annual repcrt and you <br />previously submitted a map which correctly depicts the current acreage in _te*ns 2 <br />trough 6, 'on a new map is unnecessar-. However, this must <br />be stated above. <br />Signature: - C <br />" - Date: Aule 8 <br />Please type or print current contact name, mailing address, and phone =L=er below: <br />Contact Name : Phone: jy?,j 3a? <br />_A_ 'kX NO: <br />Company : <br />Address : .J?86 <br />Federal Tax ID No. or Social Security No.: <br />Ca