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RECEIVED <br /> OCT 17 2014 Page 2 of 3 <br /> 4#1 1VISic mARAL112c Annual Repo &SAFETY S <br /> EE PORT P IN- <br /> Permittee Name: Rio Blanco County Permit Number: -1995-046 <br /> Operation Name: Johnson Draw County: Rio Blanco <br /> Annual Fee Due: $791.00 Anniversary Date: October 7, 2014 <br /> Permit Acreage: 40.00 Current Bond Amt: $0.00 <br /> According to C.R.S. 34-32.5-116 or 34-32-116, each year, on the anniversary date of the permit, an operator shall submit <br /> the Annual Fee, an Annual Report and map showing the extent of current disturbances to affected land,required <br /> monitoring information,reclamation accomplished to date and during the preceding year, any new disturbance that is <br /> anticipated to occur during the upcoming year, any reclamation that will be performed during the upcoming year,the <br /> dates for the beginning of active operations, and the date active operations ceased for the year. <br /> Information contained in this report will be reviewed by the Division upon receipt and prior to the next compliance <br /> inspection of the site. If,while completing this report,you learn that your site is not in compliance with the rules and the <br /> act,it is advisable that the issues be rectified promptly to avoid possible enforcement action. <br /> 1. Is the site identification sign posted in accordance with Rule 3.1.12(1). YES NO <br /> 2. Is the affected area boundary clearly marked in accordance with Rule 3.1.12(2). YES NO <br /> 3. Is the mine site in final reclamation(all material extraction and stockpile removal is complete)? YES NO <br /> If"YES,"please note time limits related to completion of reclamation, Rule 3.1.3. <br /> 4. What was the date of last excavation,processing or hauling activity at the mine? JuNe 2,pa l <br /> 5. Does the mine operate more than 180 days per year YES NO <br /> If"NO",please review Rule 1.13 to assure that your mine is in compliance. <br /> 6. Has this mine been granted: a)approval of TEMPORARY CESSATION Status? YES NO <br /> b)approval for INTERMITTENT OPERATION? NO <br /> 7. Number of acres currently affected(mining+incomplete and or unreleased reclamation). �2Q <br /> 8. Number of acres that were newly affected during the current report year. <br /> 9. Number of acres that were reclaimed during the current report year. <br /> 10. Estimated new acreage to be affected in the next report year. <br /> 11. Estimated acres to be reclaimed in the next report year. <br /> 12. Total acres in various stages of reclamation, since permitted mining activities began: <br /> Total acres Total acres Total acres Total acres <br /> backfilled: Q seeded w/ aQ w/topsoil a� mulched w/ �Q <br /> approved mix: replaced: approved mulch: <br /> Total acres Total acres Topsoil Mulch application <br /> graded: aQ fertilized w/ v2 d replacement /a ' rate(tons): aQ <br /> apvd fertilizer: depth(in.): <br /> Seed See8� y- Fertilizer Mulch M N V v e <br /> application 1 d-l o2 1 b 5 application application p <br /> method: er A c method: method: 15PH2Wc1eY' <br />