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Notice of Intent to Continue Mining Upel at i,>n•, <br />1 12 Annua I Repor t <br />Per Ini ttee Nanle: Act-yrpe I3• loci-+'`f,'>_ C-0, <br />Permit No: M-87-074 <br />Operation Name: Dotsero Quarry* <br />Ann i ver' ,ary Da to : 10/09/'15 <br />Total: $550.00 (Due on your Anniversary Datel <br />1 . It. Permi tted acreage: ,?/,,?? ;1_,>?__-.- b. County where mine i ; located: <br />2. Has this (nine been granted TEMPORARY CESSATION STATUS? YES <br />Doe, this aline operate MORE or LESS than 180 days l,el yeah' c th LESS <br />3. Does this mine have a phased reclamation plan? YES NO <br />4. Tut,31 acres affected during the report year:` <br />5. Totai acres rerlainred for the report year:* ?_ - <br />6. focal acre-; in Vai'IUU;--'J-taye; of r=eclama-t-ion:* -_- <br />,i. hact.f i I led: _ _-?-- d. fop,,oi 1 replaced: <br />El. Graded: Averaye topsoi I tlt?r:ne,? <br />I aced <br />c. Seeded: <br />List species seeded & seeding rep <br />rate for report year on back <br />7. The type and approximate quantity of fertilizers, olg -nic material or soil <br />conditioners used for the report year:" ---v'lrp? ----- - <br />8. C',t.imited total act es tobe affected innthe next report year:' <br />WMM L N I <br />Please show the location of the acreage for items 4 - 6 on your map " <br />Indicate the phases of the reclamation which have been completed, culIel,rLed with <br />your timetable. <br />NOTE: It there have not been any changes Since the last lams,(! report and you <br />prevloUsIy slibnli tte'd a nl,rp which col rectIy depicts the CUrrent aCrr'n le u 1 term, <br />thrUUyh h then ?i lew nt,ip Is unnecessary. However, yvu Inu',tJ/,I,,Itttk' i/nl , t,IA't an, ve. <br />S I Cndt u r e: T11tact D a t e/m _/ `? <br />PIed1e type 01 p1 irCllI It2lIt tlallle, Illal l illy adds anll lilt,--lii' HUillt)CI t) L. w: <br />:?w1laC t Name: Phc,ne : - - <br />Company: <br />Addre, <br /> <br />Federa I Tax ID No. or Soc i a I Secur i ty No.: -- y_ -- -. - -- _-