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~ iiiiii-iiii--iiiir <br />Notice of Intent to Continue Mining Operations <br />112 Annual Reoort <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />Robinson Brick Company <br />M-78-014 <br />North Chieftain <br />08/14/94 <br />$550.00 (Due on your Anniversary Date> <br />1. Has this mine been granted TEMPORARY CESSATION STATUS? <br />Does this mine operate MOffRE or LESS than 180 days per year? <br />2a. Financial Warranty: $ 7~~ O 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 th e report year:* <br />kFr,FlliFl~ <br />~fP 12 ~~4 <br />C';i,-~,ron of <br />4 Ugp~d,;g d (•eologY <br />~~ o~~ 9 <br />YES NO <br />ORE LESS <br />~ 3d ~ <br />NO <br />~¢• S <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. Estimated totAal acres to be affected in the next report year:* /. O <br />9. COMMENTS: ND CN~E Z~1 NA r' FflDr7 a~wlr3~rEAQ <br />* Please show the location of the acreage for items <br />Indicate the phases of the reclamation which have been <br />your Ttimetable. <br />** NOTE: If there have not been any changes since the <br />previously submitted a map which correctly depicts the <br />through 6, then a new map is unnecessary. However, yo <br />Signature: <br />Date: <br />4 - 6 on your map**. <br />completed, correlated with <br />last annual report and you <br />current acreage in items 2 <br />~ must state this fact above. <br />Please type or print current contact name, mailing address, and phone number below: <br />Contact Name: /'/T,FE ~El~~cy y D.&• Phone: (3~3) 78) -~~2 <br />Company: <br />Address: <br />Federal Tax ID No. or Social Security No.: <br />~a~ <br />