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<br />J. !~ • • III III'111111111'll • • •. ..\~. `--Wd~ <br />Notice of Intent to Continue Mining Operations?~C ~IV~ p <br />112 Annual Report u*n <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />Gosney and Sons Inc <br />M-87-038 <br />Bayfield Pit No 1* <br />02/09/96 <br />$550.00 (Due on your Anniversary Date) <br />Division of Minerals & Geology <br />av <br />~z <br />~~ <br />m ~' <br />1. a. Permitted acreage: y- _ b. County where mine is located: ~~ <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? YES <br />i <br />Does this mine operate MORE or LESS than 180 days per year? MORE LESS <br />3. Does this mine have a phased reclamation plan? ~ 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. Estimated total acres to be affected in the next report year:* <br />9. COMMENTS: <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 1•ast annual report and you <br />previously submitted a map which correctly depicts the current acreage in items 2 <br />through 6, then a ew map is unnecessary. However, you must state this fact above. <br />Signatuy~ L" J - ~%~~~~~ Date: ~~L7/Qi(p <br />Please type or print>current llontact name, mailing address, and phone nu`mlber below~~ <br />Contact Name: ,CL~/~C ~Os~?G~ j Phone: (`~7~>~Y'' <br />Company: /~d - ~~ ~! 9 y/// <br />Address: ',8~~ v ~ tiY'~Z. <br />Federal Tax ID No. or Social Security No.: ~`/~ O~.~J~ ZO d <br />