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• III IIIIIIIIIIIII III <br />Notice of Intent to Continue Mining Operations REC~IVFp <br />112 Annual Report A~~ 09 1995 <br /> <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />Robinson Brick Company <br />M-84-076 <br />DDD* <br />08/09/95 <br />~P <br />Division of Mmerals s Sy/ <br />Vepjo9Y <br />5550.00 (Due on your Anniversary Date) <br />1. a. Permitted acreage: ~,• b. County where mine is located: G ~e~ <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? YES NO / <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? YES NO <br />4. Total acres affected during the report year:* 2• Z- <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: Z.( 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 acr/es to be affected in the next report year:* _ . <br />9. COMMENTS: ND G`tangL ~coN+ Piev~e,~I Vc~ur o./ MPP• <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 <br />previously submitted a map which <br />through 6', then a new map is- nn <br />Signature: ` <br />Please type or print current con <br />Contact Name: Md~- Le•d/c~. ~ Phone: (?~~ )7?7 3~y) _ <br />Company: QuS•N!••• BirGL c...•..,.. <br />Address: P+ /!.k S)y) <br />Oe~~v' c~ Potl7 <br />Federal Tax ID No. or Social Security No.: <br />any changes since the last annual report and you <br />correctly depicts the current acreage in items 2 <br />ejce,~sQKJ~~Z}y. However, you musgt stafe this fact above. <br />~~ ~~~/~~/, Date: ~J ~ <br />tact name, mailing address, and phone number below/ <br />~~Q~ <br />