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~ ~ Ill lllllllllllu.lll ~ RECEivE~ <br />;. <br />Notice of Intent to Continue Mining Operations JUN ? (14q~ <br />110(2) Annual Report Mined Land <br />Permittee Name: Earl L. Hale Reclamation Division (~ <br />Permit No: M-81-121 ~{1 <br />Operation Name: Hale Pit CCCXXX <br />Anniversary Date: 07/23/91 <br />Total: X120.00 (Due on your Anniversary Date) ~'l <br />lQ-~,n~,1`~ ,~ <br />1. Has your mine been granted TEMPORARY CESSATION STATUS? YES NO v~~ <br />Does your mine operate MORE or LESS than 180 days per year? MORE LESS <br />2. Total acres affected during the report .year:* <br />3. Total acres reclaimed for the report year:* <br />4. Total acres in various stages of reclamation:* <br />a. Backfilled: d. <br />b. Graded: <br />5. <br />6. <br />7. <br />c. Seeded: <br />List species seed-~~seeding <br />rate for report year on back <br />Topsoil replaced: <br />Average topsoil thickness <br />replaced: <br />The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* <br />Estimated total acres to be affected in the next report year:* <br /> <br />* Please show the location of the acreage for items 2 - 6 on your map**, <br />Indicate the phases of the reclamation which have been completed, correlated <br />with your timetable. <br />NOTE: If there have not been any changes since the last annual report and <br />you previously submitted a map which correctly depicts the current acreage in <br />items 2 through 6, then a new map is unnecessary. However, you must state this <br />fact above. <br />Please type or print current contact name, address, and phone number below: <br />Federal Tax ID No. or Social Security No.: S~ d- ~ ~ 0 L/ U ~~~ <br />Signature: ~~~X ~-~p~; Date: d -~~ -/~ <br />Contact Name: ~~~~ ~%1,E Phone: (']~S) ~/9.~'-~ ~ ~~ <br />Company: <br />Address: 7,, 95 L°.AL /4 v,?it,~//~ /biz i// <br />~ ~ ~l <br />