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• iiiiiiiiiiiuiuiii • <br />Notice of Intent to C9nti~ a Mining Operations AE(',C/1/~ <br />110(1) Annual Report ~ ~fl <br />Permittee Name: Westley Potts ~Ay18),99 <br />Permi t No: M-83-030 Ci;;;,~,~ 4 <br />Operation Name: Twin Canyon Mine* ~ ~•-~~e~~,. <br />Anniversary Date: 06/10/94 ~ ~~'o-cny <br />Total: $75.00 (Due on your Anniversary Date) <br />1. Has this mine been granted TEMPORARY CESSATION STATUS? <br />Does this mine operate MORE or LESS than 180 days per year? <br />2a. Financial Warranty: $ ~6p ~ 2b. Permitted acreage <br />3. Does this mine have a phased reclamation plan? <br />4. Total acres affected during the report year:* <br />5. Total acres reclaimed for the report year:* <br />YES NO ~~ <br />MORE LESS <br />Y S NO <br />6. Total acres in various stages of reclamation:* O <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 <br />5 <br />The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* <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 />** NOIE: 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, this must be stated above. <br />Signature: ~!~ ~~.~ e7,~~ Date: ~J)?'JdN //~~~~ <br />Please type or print current contact name, mailing address, and phone number below: <br />Contact Name: /~f/ ~ S ~ ~ ~9 ~o~TS / Phone <br />Company: ~ f ;y o ~J1^1,/7~c~'J~4 ~~li l~~/>t~ <br />Address: fr//S C ~ ~~ ~ <br />~~~Cv.S ev, fs/3~~ <br />( ~o.~) .x:33-~~3 y <br />Federal Tax ID No. or Social Security No.: -!~-~-~ ~ D - ~',3 ~L <br /> <br />\~`~ <br />8. Estimated total acres to be affected in the next report year:* _~_ <br />