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III IIIIIIIIIIIII III ~ .~-~ Notice of Intent to Continue Mining Operations 112 Annual Report RFC~~V~ Permittee Name: Jake Kauffman & Sons Inc Q Permi t No: M-78-327 SAY X519 Operation Name: Kauffman Pit* ~lvi• ais 9~ Anniversary Date: 05/14/93 S~0~o1Minei Total: $490.00 (Due on your Anniversary Date) ~ Ge ° 1. Has this mine been granted TEMPORARY CESSATION STATUS? YES NO ~~ Does this mine operate MORE or LESS than 180 days per year? ORE LESS 2a. Financial Warranty: $ 2b. Permitted acreage: ~~ 3. Does this mine have a phased reclamation plan? YE NO 4. Total acres affected during the report year:* 5. Total acres reclaimed for the report year:* O 6. Total acres in various stages of reclamation:* a. Backfilled: -- d. Topsoil replaced: b. Graded: ~-/,o~.~lc~ 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:* - 8. Estimated total acres to be affected in the next report year:* 9 . COMMENTS : r~.ia`- Gz~/ .l~rS/ /9 3 /~.~A~a. a+~~C ~ ~~ L~z * 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. ** NOTE: If there have not been any changes since the last annual report and you previously submitted a map which correctly depicts the current acreage in items 2 through 6, then a new map is unnecessary. However, you must state this fact above. Signature: ,~ Date: b's- ~/- y _3 Please type or rint current contact name, mailing address, and phone number bel9w~ // ./ Contact Name: ~J'jgi"~ ,4uff~iy+A~t/ Company: ~~~Aaff-in~J,IrS~ S~.y~,lic_.. Address: 5'"D~ ,~"G',~' 9E .roue%4.t/o~ ~o ~os~J Phone: (3c~ ) G(o~-~S~ ~ Federal Tax ID No. or Social Security No.: ~~/-~ SGD 7!~! _ J5`\~~A~