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Notice of Intent to continue Mining Operations <br />. 111c Construction Materials Annual Report <br />Permittee Name: <br />Permit No. <br />Operation Name: <br />v <br />Anniversary Date: <br />ia- <br />b <br />Total: <br />9/ i <br />1. a. Permitted acreage- ?S . b. County where mine is located: L ?a-S o <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? YES <br />Does. the mine operate MORE or LESS than 180. days per year? MORE L SS <br />3. Does this minelave s phased reclamation plan? YES NO <br />4. Total acres affected during the report year:* <br />5. Total acres reclaimed for the report year:* <br />T 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: <br />C, 4j Ck Ck.'s <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 />----** ]VOTE= If--there-have-not been any-changes-since-the-last-armuafreport-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 aliave. <br />Signature: C. Date: - a p 1 a <br />Please type or print current contact name, mailing address, and phone number below: <br />Contact Name: J o e. C- M L e v Phone: <br />Company: w a - . j o es FAX NO: <br />Address: e o G v yC L-O <br />T? Co. alto (oy <br />Federal Tax ID.No. or Social Security