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1'agc3of5 <br />1120 Annual Report <br />RECEIVED <br />j <br />NOV D9 2017LYj4r'a <br />I <br />[)P MION OF RECLAMATION, <br />(DROffice <br />=Usc <br />Permit Number: <br />M-2001-085 <br />Permittee Name: <br />12085 LLC <br />Operation Name: <br />120th Fswtes Partners <br />County: <br />Adams <br />Anniversary Date: <br />July 25, 2017 <br />Current Band Amt: <br />x368,590.00 <br />Annual Fee Due: <br />5791.00 <br />Permit Acreage: <br />9. <br />DRMS Specialist <br />IL <br />According to C.R.S. 34-32.5-116 or 34-32-116, cxtc:h your, 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 affccled 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 ofactive operations, and the date active operations ceased for the year_ <br />Infomtalion 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 />I. Is the site identification sign posted in accordance with Rule 3 1.12(1)7 <br />2. Is the affected area boundary clearly marked in accordance with Rule 3.1 12(2)': <br />3 is the mine site to final reclamation tall nuttcnal extraction and stockpile removal is complete)" <br />If -YM" please note tinge limits related to completion of rcclumalion_ Rule 3.1 3. <br />4 What was the date of lust excavation, processing or hauling activity at the mine" _ <br />5 floes the mine operate more than 180 days per year° <br />If" NO-. please review Rule 1.13 to assure that your mine .s in compliance. <br />6 Has this mine been granted. a) appro%il ofTWPORARY CESSATION Status' <br />b) approval for INTERMITTENT OPERATION <br />7. Number of acres currently affected (mining incomplete and or unre=eased reclaination): <br />8. Number of acres that were newly affected during the current report year <br />9. Number of acres that were rcclaimcd during the current repun year. <br />10. Estimated new acreage to be affected in tie next report year-. <br />11. Estimated acres to be reclaimed in the next report year. <br />QD <br />NO <br />CP NO <br />QD <br />NO <br />YES & <br />Y ES N <br />I i YES <br />14 <br />