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• <br />Notice of Intent to Continue Mining Operations <br />110(2) Annual Report <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Ddte <br />Total: <br />Lake County * ` `` <br />M-77-459 <br />Lake County--Grav~Pit <br />07/08/95 <br />iii iiiiiiiiniiiiii <br />999 <br />Frt~,F~VEO <br />JU( 2 4 i.4.9.y <br />DiViSipn pt ~pnerais ~ Ueo2.JP <br />$225.00 (Due on your Anniversary Date> <br />1. a. Permitted acreage: b. County where mine is located: ~ ~ <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? YES <br />Does this mine operate MORE or LESS than 180 days per year? MORE ESS ~ <br />Do you e:<tract MORE or LESS than 76,000 tons of mineral or <br />overburden a years ORE LESS <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 the report year:' <br />6. Total acres in various stages of reclamation:` <br />__ _ _ YES NO <br />3 <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:* .3 <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 />N <br />"* <br />QIC: I f there have not been any changes since the last annual report and you <br />previously submitted a map ~,~hich correctly depicts the current acreage in items 2 <br />through 6, then <br />a new map is unnecessary. However, this must be <br />stated above. <br />Signature: /te <br />„llrf'//~_ Dat / <br />e: ~~/9~ <br />Please type or print current contact name, mailing address, and phone number beloy <br />Contact Nam e: ~~~~~ Phone: ( rfl~/ ~ x}86-OLST> <br />Company: f d-~C-e. ~",c,_,~ , <br />Address: ~! oX <br />s~l~ <br /> , <br />c~..~~,/lam G~ ~ <br />Federal Tax ID No. or Social Security No.'. ~"~ <br />r' <br />