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					                 MARYLAND DEPARTMENT OF THE ENVIRONMENT
                 1800 Washington Boulevard  Baltimore MD 21230
                 410-537-3000  1-800-633-6101
 Martin O’Malley                                                                                  Shari T. Wilson
 Governor                                                                                               Secretary

 Anthony G. Brown                                                                       Robert M. Summers, Ph.D.
 Lieutenant Governor                                                                            Deputy Secretary
                                FINAL RECLAMTION REPORT
                                                Date:


 1. Name of Operator:

 2. Address:



 3. Permit No.:

 4. Name of Operation:

 5. Location:



 6.      SUMMARY OF THE MINING OPERATION AND RECLAMATION OF AFFECTED AREA.

         a. Were the terms and conditions of the original permit and any subsequent modification(s) adhered
            to?
                         YES                            NO

                   1. If No, have all violations been corrected?

                             YES                           NO

         b. Have the following items been obtained or restored in accordance with the approved Mining and
            Reclamation Plan:

                   1. Final slopes and surface gradient:

                             YES                           NO

                   2. Vegetative Cover;

                             YES                           NO



                                                 www.mde.state.md.us                         TTY Users 1-800-735-2258
MDE/LMA/FR.001                                                                               Via Maryland Relay Service
                 3. Settling ponds, wash ponds, sediment basins, and sediment traps;

                            YES                    NO           N.A.


                 4. Pond approval for permanent impoundments, and

                            YES                    NO           N.A.


                 5.   Stream channels and banks?

                            YES                    NO           N.A.

         c. If a “NO” response was recorded in items (1) through (5) above, summarize the departure(s) from
            the approved Mining and Reclamation Plan and state the reason for the deviation from each item.




         d. Summary of any problems encountered during mining or reclamation work and measures taken to
            correct these problems:




         e. Total acreage of land disturbed:

         f. Total acreage of land reclaimed:

         g. Total acreage of land under permit:

 7.      STATUS OR CONDITION OF AREAS PROGRESSIVELY RECLAIMED SINCE THE
         INITIATION OF MINING WORK IN THE AREA TO BE RELEASED.

         a. Has vegetative cover been established for two growing seasons?

                            YES                         NO

         b. Condition of vegetation:

                            DENSE                       SPARSE




                                               www.mde.state.md.us                           TTY Users 1-800-735-2258
MDE/LMA/FR.001                                                                               Via Maryland Relay Service
     8.      A MAP THAT IS CONSISTENT WITH THE CURRENT MINING AND
             RECLAMATION MAP SHALL ACCOMPANY THIS REPORT.

     9.      A RIGHT OF ENTRY AGREEMENT WAS RECORDED ON THE DEED TO THE
             PROPERTY COVERED BY THE SURFACE MINE PERMIT. IF YOU WOULD LIKE
             THE AGREEMENT REMOVED FROM THE DEED. THE COST OF THIS
             PROCEDURE IS $40.50. (SOME COUNTIES CHARGE $30.00, PLEASE VERIFY WITH
             LOCAL CLERK OF CIRCUIT COURT) PLEASE SUBMIT A CHECK MADE
             PAYABLE TO THE DEPARTMENT OF THE ENVIRONMENT.

 SUBMITTAL OR INQUIRES REGARDING THE FINAL RECLAMATION REPORT SHOULD BE
 DIRECTED TO:

                            Maryland Department of the Environment
                                 Minerals, Oil & Gas Division
                                       1800 Washington Blvd.
                                           Ste. 655
                                     Baltimore, MD 21230

 TYPEWRITTEN NAME AND TITLE:




 NAME                                       TITLE




 SIGNATURE:                                 DATE:




                                      www.mde.state.md.us              TTY Users 1-800-735-2258
MDE/LMA/FR.001                                                         Via Maryland Relay Service

				
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