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Notice of Intent to Condi= Arming Operations <br />110(2) Annual Report <br />Permittee Name : Blue Jet )Mining INC. <br />Permit No : M-78 -133HR <br />Operation Name : Blue Jet Nfine <br />Anniversary Da!ie : 09/09401 I <br />Total: 520.00 <br />Signature: <br />Contact Narae rare <br />Due on anniversary' Date <br />1 . Has this mine been granted a TEMPORARY CESSATION STATUS Yes - vo <br />Does this mine operate more or less than 180 days per year More , . <br />2a. Fmsndnt War: g5 a 4 °- Z. Pfd mew q <br />4. Total acres of affected during the report year .: .a . <br />S. Total taxes reclaimed for report year Di s - 7 WI tb <br />6. - Total acres in vacs stages of reclamation* - -.A rte! : A >~ Fe5.1' r 0 • . ' Baled B. Graded <br />List saes seeded & seedung rate for report on bark -- . <br />replaced A r _ <br />Topsoil Vt <br />7. - The type and approximate quantity of ferhliier .organic mate dal or soil conditioners <br />used for report Iear. <br />8. Estimated acres to be affected in next report <br />9. Counts <br />* Please show the location of the awe for items 46 on your map have not bees. any since the last anal . Note Inhere <br />repoatttl� a is <br />unnecessary ,...fO op.mee f <br />Date <br />Phone <br />Address .8 aX it/ C Ca ?14.4226 <br />Fed Tax II3 No or Soeitl Secsnitg <br />a er- So517 <br />