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~.. <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />• <br />• <br />iii iiiiiiiiiiiuiii <br />999 <br />Notice of Intent to Cont~ue~ining Operations <br />112 Annual Report <br />Golden's Andesite Mining Comp <br />M-77-141 <br />Lyons Quarry <br />12/29/95 <br />~~r1=1vED <br />DEC 2 9 1995 <br />OiviSion of mmerais S. Geology <br />$550.00 (Due on your Anniversary Date) <br />1. a. Permitted acreage: '~ ~ b. County where mine is located: ~BdGr[.p,C~ <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? YES NO ~ i <br />Does this mine operate MORE or LESS than 180 days per year? M E LESS <br />3. Does this mine have a phased reclamation plan? YES NO^ <br />4. Total acres affected during the report year:* /O <br />5. Total acres reclaimed for the report year:* ~Di/~ <br />6. Total acres in various stages of reclamation:* <br />a. Backfilled: d. Topsoil replaced: <br />b. Graded: Average topsoil thickness <br />c. Seeded: replaced: <br />List species seeded & seeding <br />rate for report year on back <br />7. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* <br />8. Estimated total acres to be affected in the next report year:* / Z <br />9. COMMENTS: <br />* Please show the location of the acreage for items 4 - 6 on your map**. <br />Indicate the phases of the reclamation which have been completed, correlated with <br />your timetable. <br />** NOTE: If there have not been any changes since the last annual report and you <br />previously submitted a map which correctly depicts the current acreage in items 2 <br />through 6, then a new map is unnecessary. However, you must state this fact above. <br />~~// /~ l <br />Signature: pYY~! OCD'L~t~ Date: /Z~Z 7/y~ <br />Please type or print current contact name, mailing address, and phone number below <br />Contact Name: ~iPi''/ ~C;Ci~~ / Phone: (30j>lolol~83~~ <br />Company: ~/i[.pLn/ S iai7oisn/i.GS <br />Address: P. O. •r~-rJX 3Z~ <br />Federal Tax ID No. or Social Security No.: f~-`~ //JySlo,7 <br />