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Page 3 of 5 <br />110(2) Annual Report <br />C <br />RECEIVED <br />NOV 2 7 2015 <br />DIVISit.,.. ,.,, J MATION, <br />MING AFETYMINERAL3 <br />L FE • REPOR MAPAnniversary <br />-41110 <br />(DRMS Office Use Only) <br />Permit Number: <br />M-1992-045 <br />Permittee Name: <br />Gold Basin Mine, LLC, c/o <br />Simpson Estates <br />Operation Name: <br />Gold Basin Mine <br />County: <br />Chaffee <br />Date: <br />December 26, 2015 <br />Current Bond Amt: <br />$12,500.00 <br />Annual Fee Due: <br />$259.00 <br />Permit Acreage: <br />32.30 <br />DRMS Specialist <br />DMC <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 monitoring <br />information, reclamation accomplished to date and during the preceding year, any new disturbance that is anticipated to <br />occur during the upcoming year, any reclamation that will be performed during the upcoming year, the dates for the <br />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 />2. Is the affected area boundary clearly marked in accordance with Rule 3.1.12(2)? <br />3. Is the mine site in final reclamation (all material extraction and stockpile removal is complete)? <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. <br />6. Has this mine been granted: a) approval of TEMPORARY CESSATION Status? <br />b) approval for INTERMITTENT OPERATION? <br />7. Number of acres currently affected (mining + incomplete and or unreleased reclamation): <br />I No minina occurred in 2015 <br />8. Number of acres that were newly attected during the current report year: <br />9. <br />10. <br />11. <br />Number of acres that were reclaimed during the current report year: <br />Estimated new acreage to be affected in the next report year: <br />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 />SN0 <br />'(-3i NO <br />YES NO <br />lOctoberm 2015 I <br />YES <br />YES n <br />YES <br />32.2 acres 1 <br />10 acres <br /><0.5 acres I <br /><,0.5 acres I <br />I0.0acres <br />