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Notice of Intent to continue Mining Operations <br />1. Construction Materials Annual Report <br />Permittee Name: K c 10 N ,j'► e - V *f <br />�. Permit No.: -- fl <br />Operation Name: Uj 0 t v E >^S <br />Anniversary Date: A d a c,�.S a e! 0 <br />Total: <br />1. a. Permitted acreage: J b. County where mine is located: <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? <br />3. Does this mine1 ave a phased reclamation plan? <br />4. Total acres affected during the report year:* <br />5. Total acres reclaimed for the report year:* <br />- — -16- Tota -l- number of-acres in- topsoiVreplacement stage- - - - <br />a. Average thickness of topsoil replaced: <br />7. Total number of acres seeded: <br />a. List species & seeding rate for report year on back <br />8'. For non - phased operations provide dates extraction ceased: <br />LESS <br />MORE <br />YES NO <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: N o C. a ci P S 1 AJ C -2 /%A (::%, <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. <br />Signature: Date: <br />Please type print current contact name, mailing address, and phone number below: <br />Contact Name: J v c cw— X F c Phone: '71 7 ( 9 <br />Company: <br />Address: <br />Federal Tax ID No <br />Ki it - o��ycf C, o •� S y' FAX NO: - '7/ 7 - J V g7 �--,9 v2 6 <br />80 . <br />Cc� 9/062T <br />or Social Security No.: e g y - a J r- <br />