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• <br />f III IIIIIIIII IIII III <br /> Notice of intent9to t,ontinue Mining Operations <br /> 110(2) Annual Report <br />Permittee Name: Summit Brick & Tile <br />Permit No: M-85-203 L'. <br />Operation Name: Edmundson Clay Mine* <br />Anniversary Date: 05/09/94 <br />Total: $225.00 (Due on your Anniversary Dat <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: $ ~ J7 0 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 />6. Total acres in various stages of reclamation:* <br />a. Backfilled: 0 d. Topsoil replaced <br />b. Graded: ~ Average topsoil <br />replaced: <br />c. Seeded: D <br />List species seeded & seeding <br />rate for report year on back <br />7 <br />The type and approximate quantity of fertilizers, <br />conditioners used for the report year:* <br />8. Estimated total acres to be affected in the next report year; <br />9. COMMENTS: TOPSO/L STOG,r~,OiGE Hf~S fI6E/CJ SEA ~~. <br />K GLH/ yr/o/v !~/~~- f S ~FlTi~O /~ /~ <br />c-vT i S rI9A,0E <br />* Please show the location of the acreage for items 4 - 6 on yo r map**. <br />Indicate the phases of the reclamation which have been completed, orrelated with <br />your timetable. <br />** NQIE: If there have not been any changes since the last annual report and you <br />previously submitted a map which correctly depicts the current acr age in items 2 <br />through 6, then a new map is unnecessary. However, this must be s ated above. <br />Signature: "~ ~ / ~ Date: (O <br />Please type or prin/t current contac/t,~/name, mailing ,address, and ph ne number below' <br />Contact Name: ~/~~~~/~ C 1/(/~`~7~6 ~ Phone: (~~ )syo~-~a7~ <br />Company: ~'y/YI/1'1/T ,SRi~-K Qj/G~ <br />Address: Q ~r ~pX S~ 3 <br />Pd~i~~ o~ co 8ioo a - os~3.3 ~.;~ <br />Federal Tax ID No. or Social Security No.: - O 3 3 ~ ~ ~QQ ti,~ ~,/ <br />PQ~ (J~" <br />R(=I:FIVr=~~~ <br />NPR .! g ig9fi <br />. ~, i. . <br />,, .. <br />~) <br />YES NO <br />MORE ESS <br />9. ~q <br />YES NO <br />/, aS/~ <br />sickness <br />nic material or soil <br />