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Page 3 of 5 <br /> 112c Annual Report <br /> RECEIVED Permit Number: M-2004-023 <br /> Permittee Name: Phillips County <br /> MAY 19?017 Operation Name: Haynes H reford Ranch Pit <br /> County: Phillips <br /> DIVISION OF RECLAMATION, <br /> MINiII .q:kSAFETY- L3 Anniversary Date: June 2, 2017 <br /> �FE PORTY MAP <br /> Current Bond Amt: $0.00 <br /> Annual Fee Due: $791.00 <br /> Permit Acreage: 70.30 <br /> (DBMS Office Use Only) DRMS Specialist ERR <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(l)? CiES7 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 N: <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? ��f vZ& fi <br /> 5. Does the mine operate more than 180 days per year YES <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? YE NO <br /> 7. Number of acres currently affected(mining+incomplete and or unreleased reclamation): 2 <br /> 8. Number of acres that were newly affected during the current report year: G <br /> 9. Number of acres that were reclaimed during the current report year: L <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: (J <br /> 12. Total acres in various stages of reclamation, since permitted mining activities began: <br />