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RECEIVED <br />APR 2 3 2015 <br />Pennittee Name: Montezuma C <br />Operation Name: <br />Hay Camp Pit <br />Annual Fee Due: <br />$791.00 <br />Permit Acreage_ <br />376.30 <br />112c Annual Report <br />Permit Number: _ M -1990-025 <br />County: Montezuma <br />Anniversary Date: May 22, 2015 <br />Current Bond Amt: $0.00 <br />Page 2 of 3 <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). <br />YES NO <br />2. Is the affected area boundary clearly marked in accordance with Rule 3.1.12(2). <br />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? <br />5. Does the mine operate more than 180 days per year? <br />If "NO ", please review Rule 1.13 to assure that your mine is in compliance. ES NO <br />6. Has this mine been granted: a) approval of TEMPORARY CESSATION Status? <br />b) approval for INTERMITTENT OPERATION? <br />YES NO <br />YES NO <br />7. Number of acres currently affected (mining + incomplete and or unreleased <br />reclamation). <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 sta es of reclamation, since ennitted nu'm'ng activities be an: �+ <br />Total acres <br />Total acres <br />backflled: Total acres Total acres <br />seeded w/ <br />w /to soil mulche <br />s ` a roved mix: r laced: ( <br />% <br />N` <br />Total acres a roved mulch: <br />Total Topsoil acres <br />s <br />4 <br />graded: fertilized J, Mulch application <br />replacement rate (tons/ac): <br />apvd fertilizer: 4--+L (in.): <br />Seed <br />b <br />application Fertilizer � Mulch <br />placation © application <br />method: '(J � <br />method: method: <br />