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otice of Intent to continue Mining Operations <br />. 11 ?k Construction Materials Annual Report <br />Permittee Name: { v J ,L o...r e 6 N s ?` C. c7 t d ti. <br />... Permit No. 03,9 <br />Operation Name: w 't) t V -e V"-5 <br />Anniversary Date: <br />Total: <br />S -- ', - <br /> <br />1. a. Permitted acreage: g b. County where mine is located: u. e ?r-L C) <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? YES NO <br />Does.the mine operate MORE or LESS than 180 days per year? MORE LESS <br />3. Does this mine have a phased reclamation plan? YES NO <br />4. Total acres affected during the report year:* 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 & 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 type and approximate quantity of fertilizers; organic material or soil conditioners <br />used for the report year:* <br />10. Estimated total acres to be affected in the next report year:* <br />11. COMMENTS: o C a -.y 5 P S t A/ c as <br /> * Please show the location of the acreage for items 4 - 6 on your map**. Indicate the phases of the reclamation <br />which have been completed, correlated with your timetable. For phased operations show dates extraction <br />ceased and dates reclamation began. . <br />* * NOTE: If there have not been any changes since the last annual report and you previously submitted a map <br />which correctly depicts the current acreage in items 2 through 6, then a new map is unnecessary. However, this <br />must be stated above. q <br />Signature: Date: 2 0 <br />17 <br />Please type or print current contact name, mailing address, and phone number below: <br />Contact Name: J--c e- C• C', .X I c c Phone: 21Q 33 $ S <br />Company: f??i if?l'La ;y cl C Q Av s rbc?_ Ti cQ ^I FAX NO: <br />Address: P O. p A 0 <br /><v__? ca s/o 9 <br />Federal Tax ID No. or Social Security No.: (0-6-(92 <br />b