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<br />Annual Reclamation Report <br />iiiiiiiuiiiiiiihi <br />This form is for coal mines that have not disturbed additio I <br />or conducted reclamation activities during the past calen$~ I V l=,L~ <br />AR 16 1992 <br />Mined Land <br />Reclamatior, n~~/~-~,-, <br />Rule 2.04.13 requires that coal mines file an annual reclamation report covering the <br />previous calendar year, for all areas under bond. The repon shall include, but not limited <br />to, text, discussion and maps which address: <br />PermitteeName: ~. ('o i (~i'nv /~O.on} (i nnvn PerntitNo.: ('_Rn_nn7 <br />Stheet Address: 7n Anv 5?9~ /:~,nn; ..... /'.. R07?/l 44n? ('nugty /7nnd 6 ~nnni wnn /'n <br />Clty: gun,e teoa Co. ,Colorado Zip Code: x ~ ~ ~n <br />This mine has not disturbed additional acreage during the past calendar year. <br />This mine has not bacl:filled and graded during the past calendar year. <br />This mine has not topsoiled during the past calendar year. <br />This mine has not seeded, planted or augmented seeding or cultural practices during _ <br />We past calendar year. <br />If this mine has reclaimed acreage in past years please attach to this form, a list of the <br />location, number of acres and date of planting for all previously revegetated areas. <br />The permittee may provide additional monitoring information as required by the approved <br />permit. <br />Signature <br />Date: , 3 S-9 %Z- <br />RPP/rPP/arpform.wp 2/11P92 <br />