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ermittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />~ III IIIIIIIIIIIII III ~ <br />999 <br />Notice of Intent to Continue Mininu Operations <br />112 Annual Report <br />Gosney and Sons Inc <br />Bayfield Pit No 1 REGE~vE~ <br />02/09/95 ~ ~ 1995 <br />$550.00 (Due on your Anniversary Date> ~AN <br />1. a. Permitted acreage: ~ b. County where mine is located: ~ 9Y <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? Q1V~g~ot~oYES <br />Does this mine operate MORE or LESS than 180 days per year? MORE <br />3. Does this mine have a phased reclamation plan? YE NO <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: 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 <br />9. <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 submitt a map which correctly depicts the current acreage in items 2 <br />through 6, t en /~ne~w map is ecessary. However, you musts to this fa t above. <br />Signat G22~i~ _ Date: `. <br />Please--type or print cwFfent contact(~rfame, mailing address, and phone number below/ <br />Contact Name: 'hone: (.~J~i> ~l~S~-5/l// <br />Company <br />Address <br />Federal Tax ID No. or Social Security No.: ~`t ~ ~U x`1"200 <br />ap.N 13 ~~ <br />J"- <br /> <br />Estimated total acres to be affected in the next report year:* ~ <br />