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oiw3;e• Q#, Intent to continue ,mi ni rc Cwt;
<br />"a o,s
<br />110(2) Annual ReDort
<br />Permi ttee Ma21le. ?C+?ki? Cons.??w.s:ho,1 -a;e ? w
<br />Per, it
<br />'NO: tk1 t9R?» o. ? .
<br />Opgration.Nane:
<br />Anniversary 'Date: .? c)ck??
<br />o.ta1: Que.on your Anniversary )ate)
<br />1 • a.-Permitted acreage:
<br />ks.
<br />;_ - our,ty whe a mine is 'ocate,: Jai'' ??Pn
<br />Has ts mine been granted TFiFt? ARY CESSATTC,ti SrAi S?
<br />YES i,10
<br />Goes. this mine Oper?.te KORE or LESS than 180 days per year ^s
<br />Do you extract MORE or LESS than .70,000 tons o r i per M?`E E,
<br />overburden a year? a or
<br />MORE Lc5
<br />?a ? -._ - - --
<br />3 Does this m11'10 have a phasad recta:
<br />4 9tai acres WecteO Grur nc+ the re ort y$e.r: CS
<br />5. Total
<br />.: acres r¢ctainedcr the report year;*
<br />r
<br />+Zs? ?.-------
<br />3'ota?`scres fa various stages of reclarnati6n: i
<br />a sackf aged
<br />b• .Graded. d. iopsoi l replace!l:
<br />Saedd: Average topsoi' thickness
<br />replace,
<br />L1s:t- species seede? & ?3t?,r
<br />raze for report ?'$ar on back
<br />.r.,_ .,.
<br />7 She ty,ze and aPAroximtg,
<br />c:or?dtvpe, and apps for' quarti.ty o: Mfprt; , zers, organic .
<br />otal ?-'G R3`?ri.l or ,C;!
<br />e repgr
<br />th? v^?a-:
<br />---------------
<br />$• Estimated t,
<br />aCrBS to be affQcted i:, -the next report year i o??" 02 0
<br />Ct?iM?i?7S • {`' ?•
<br />Please show the location the.acrea creas for ',t ems 7j__^
<br />Ind s the- r se,s Of .}fie r e ^??y __s yc jr 1r,ZI
<br />,• .Yg r 2T'ib` `?.?'? ? «tr trIcn i wv$ 0R,A^ CC!^^i?tP rr r jct. d} - -
<br />.
<br />Ac, $.'ti}ere,
<br />r
<br />' vs ?Ot :been any cf;ar: ?s. Sic. the last aj?jua
<br />10
<br />annLZ
<br />Y.: ?8 a l?tp wi Ch,.orrec :
<br />Cht and
<br />rots?t??` tM
<br />? lye Che granr '( r re o= yov
<br />`•c'r•S G°
<br />R A Zt lex !R!a',? ? tls?Si?C SS?r;Y, ?@W?V ,• 5 ,F,tsst
<br />?j?~ d+?o in
<br />S,. sdaKve.
<br />i??atare:
<br />-.,,..,....r- pate:
<br />Plea$e type or, prt ^yrrer _?.. ?., _ ._.
<br />"' +. ,` i? t ZontaG F:artle, r"a 3 f:1. ad
<br />dres5, a':7.?+y.?:ole '?J,?2bQr JQi01?;
<br />?dCtM ?.
<br />'`?.. r
<br />Phone:
<br />?gddress. ' c 30Q7 --
<br />..,.:..
<br />'ede?rai ?ax ?D ito o" Sc?CIO ervrif IN-o.
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