Free 20063.pdf - Indiana

REPORT OF REVEGETATION
State form 20063 (R2 / 6-06) Form R-302 Indiana Department of Natural Resources Division of Reclamation

I,

, as a responsible official of the Company, depose and say:

That we have revegetated the areas indicated in our Plan of Revegetation submitted on and approved on (date) (date) .

That this area is now eligible under Indiana Code 14-36-1 for inspection.

Name of Mine and/or Pit

.

That the foregoing statement is true and correct to the best of my knowledge. Signature Title Date