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~5 <br />~II ~I~~IIII~~~~~ ~I~ ~ RECEIVED ~c.~-o\$\~` <br />Notice of Intent to Continue Mining Operatiory~V ~ 7 ~7~ <br />112c Construction Materials Annual Report <br />rAoFTa}Cow S~~E~4i'e4'4"O{~'R9fal~6 a~ola9Yv <br />Permittee Name: -f'f. <br />Permit No. --ff-~7--3-8-7- M - ~~ - ~ 39 <br />Operation Name: -nac~-Piz: I~~C L`~1 l~°l~ <br />Anniversary Date: - ~~ <br />Total: $550.00 (Due-1onnyour Anniversary Date) -///~ <br />1 ~nnr,-a nr ila rcc~ Rcm nninn Aatc~ N/•t (`n mnlcrinn rlara~ /~Y'S <br />2. a. Permitted acreage: Oa ~Il-~- b. County where mine is located: M oFF~4T <br />3. Has this mine been granted TEMPORARY CESSATION STATUS? YES N~ <br />4. Does this mine operate MORE or LE55 than 180 days per year? ~0'~E~ LESS <br />5. Does this mine have a phased reclamation plan? YES NO <br />6. Total acres affected during the report year:* __ __ ~C71I !~C <br />7. Total acres reclaimed for the report year:* IJ/~ <br />8. Total number of acres in topsoil replacement stage: /J/~ <br />a. Average thickness of topsoil replaced: 1J~ nc <br />9. Total number of acres seeded: IJ ~~ <br />a. List species seeded & seeding rate for report year on back <br />10. The type and approximate quantity of fertilize,rlIs/I, organic material or soil <br />conditioners used for the report year:* N !~ <br />11. Estimated total acres to be affected in the next report year:' -"~ - <br />12. COMMENTS: S(yt= A~T'~Ae~fx,p M~~ <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 />previouslxsubmitted 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~.~. ~~iosn.., Date: ~/D1,~9~7 <br />Please type or print cu~re~e~contact name, mailing address, and phone number below: <br />Contact Name: ~~'-~'`~IS ~o.-DES phone: (c17O ) `a2y~-32~ ( <br />n ,~ FAx No: c4`]o) ~2~N -035 <br />Company: N(Ol~l~al C~il'JTi.~ AGO A.D ~Z-1~~ <br />Address : ~. O ~ FJ c71C ~ l0 7 <br />C~2AlCa ~.n Q~I (oz-L <br />Federal Tax ID No. or Social Security No.: ~~ l - LOI~JO ( (~ <br />~@ <br />