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' ' # ~o <br /> iii iiiiii~iiiiii iii <br /> Notice of Inten~ ~.. ..,,..999___ _ .g Operations <br /> 110c Construction Materials Annual Report <br /> RECEIVED <br />Permittee Name: <br />Permi[ No. Washington County <br />M-94-077 <br />JUL 02 1998 <br />Operation Name: Nickell Gravel Pit <br />Anniversary Date: August 25, 1998 pivisionolMin21315~p2010(JY <br />Total: $225.00 (Due on your Anniversary Date) <br />1. Contract Dates: (for 111 permits only! Beginning date: <br /> Completion date: <br />2. a. Permitted acreage: r.5 b. County where mine is located: ~~ <br />3. Has this mine been granted TEMPORARY CESSATION STATUS? YES <br />4. Does this mine operate MORE or LESS than 180 days per year? MORE ESS <br />5. Does this mine have a phased reclamation plan? YES NO <br />6. Total acres affected during the report year:" ~_ <br />7. Total acres reclaimed for the report year:* <br />8. Total number of acres in topsoil replacement stage: A~G(kf._ <br /> a. Average thickness of topsoil replaced: <br />9. Total number of acres seeded: <br /> a. List species seeded & seeding rate for report year on back <br />10. The type and approximate quantity of fertilizers, organic material or soil <br /> conditioners used for the report year:' <br />11. Estimated total acres to be affected in the next report year:' ~ <br />12. COMMENTS: <br /> <br />` Please show the location of the acreage for items 4 - 6 on your map**. Indicate the <br />phases of the reclamation which have been completed, correlated with your timetable. <br />*` NOTE: 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 i.-, items 2 through <br />6, then a re•N map is unnecessary. Hovrever, this must be stated above. <br />Signature: Date: (0~~.7' 90 <br />Please type or print current c/o~n /t act name, mailing address, and phone number below: <br />Contact Name: P Q~rl, C ~,.n0 Phone: ( 970 ) 3B3'o2?! ~, <br />FAX NO : (Y 7O ) ?J S.=1 ~.~/ <br />Company: `~( ~~.~~ <br />Address: Z(9.20 ,Pd (_C <br />Federal Tax ID No. or Social Security No.: D ~ ~ ~~D l~ <br />