REP03025

• Permit No: M1983001
• IBM Index Class Name: Report
• Doc Date: 3/14/1996
• Doc Name: NOTICE OF INTENT TO CONTINUE MINING OPERATIONS 110 2 ANNUAL REPORT
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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999
Notice of Intent to Continue rtrnrng Operations
110(2) Annual Report
Permittee Name:
Permit No:
Operation Name:
Anniversary Date
Total:
41ash i n ton Coun t

np ill=(°.FI\i~C~
M-83-001 y •- I~-c-(' ~ 14 199
Cec i 1 I 1-34-49* ,y~ 53
OS / 15 / 96 O~wsion o+ Minerals 8 Geology
$225.00 (Due nn yoin AnnivPrsar/ Dare>
1. a. Permitted acreage: Y ~~ b. County where mine is located:
L~li
2. Has this mine been gra nted TEMPORARr CESS~+i[uN STNTUSf YES
~
Does this mine operate MORE or LESS than 180 days per year? MORE ~ ~
Do you extract MORE or' LESS than 70,000 tons of mineral or
overburden a year? MORE ESS
3. Does this mine have a phased reclamation plan? YES
4. Total acres affected d uring the report year:* //Gn/F_
5. Total acres reclaimed for the report year:* i/Gi/~
6. Total acres in various stages of reclamation:*
a. Backfilled: d. Topsoil replaced:
b. Graded: Average topsoil thickness
c. Seeded: replaced:
List species seeded & seeding
rate for report year on back

7. The type and approximate quantity of fertilizers, organic material or soil
conditioners used for the report year:* i/GNE
8. Estimated total acres to be affected in the next report year:* /8 %~
9. COMMENTS:
* Please show the location of the acreage for items 4 - 6 on your map**.
Indicate the phases of the reclamation which have been completed, correlated with
your timetable.
If there have not been dny Chdnye; S1~ICe the lasC d.n nUd~ I?~i~:i t ~~il~j rS ~i
}. ~aorE:
previously submitted a map r•~hich correctly depicts the current acreage in items 2
through 6, then a new map is unnecessary. However, this must he stated above.
Contact Name: ~o..r C~,r, / Phone: (97c~ ) 383 ~-Z/6
Company: ,i, ce
Address: /Ir1ZO (!~t
~ Ynyr~ ~0 8a8o
Signature:~C3 ~~ Date: ~ ~ (o- 9~
Please type or print current contact name, mailing address, and phone number below

Federal Tax ID No. or Social Security No.: ~ -~DDO$'l~"