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~ III IIIIIIIIIIIII III ,~ Notice of Inti~Ott) AnnualuReportng Operations p ~r,F,~/r=~7 Permittee Name: Summit Brick & Tile FEe 1 5 1994 Permit No: M-77-321 Operation Name: Native/Pierre Mine* C'~'~=~u,,~., Anniversary Date: 02/17/94 ~'~~~=~c~onv Total: $225.00 (Due on your Anniversary Date> 1. Has this mine been granted TEMPORARY CESSATION STATUS? YES 0 Does this mine operate MORE or LESS than 180 days per year? MORE LESS 2a. Financial Warranty: $ S ~~ 2b. Permitted acreage: 9, / /T _ 3. Does this mine have a phased reclamation plan? YE NO 4. Total acres affected during the report year:* 0 5. Total acres reclaimed for the report year:* 0 6. Total acres in various stages of reclamation:* /I a. Backfilled: ~~~ d. Topsoil replaced: ~~ y ~7 b. Graded: /, ~/ A Average topsoil thickness c. Seeded: ~, ~/~ cTF-~r~PCe/F~~ 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:* /1JGY/E 8. Estimated total acres to be affected in the next report year:* ~ 9. COMMENTS: ~/~ FRmr~7 a~/~ / 1/ /S ST/ LL p-GG (J~( /~ TF * 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 Ttimetable. '* 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, this must be stated above. Signature: ~ v Date: v~ ~/ Please type or print current contac''t,,~~n//ame, mail address, and phone number belowi Contact Name: ~ ~SF/O/f G Y~/~Lr"~ Phone: (//~/) S~a?-~~-7~ Company: ,s'J/YJ/j1/ T /~R/G/~ ~Ti~G Address: /~. or /~oK -533 P~E~oo. c v $6ooa- os33 `~~ Federal Tax ID No. or Social Security No.: ~ `/ ` o J ~ ~ 7 ~`"~ ~\~