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<br />I:bt~Ce rl~ In <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date <br />Total: <br />lU ~..~~iInU2 ~~ <br />2 Annual P,enort <br />Rio Grande County <br />M-78-071 <br />~ III IIIIIIIIIIIIIIII~ <br />---RFCEivE~ <br />SEP 11 }gg5 <br />Del Norte Grav Plt e010 <br />1 1/ 2 5/ 9 4 p i5ion of Mlne~ais & G 9Y <br />8550.00 (Due on your Anniversary ~ate> <br />1. Has this mine been granted TEMPORARY CESSATION STATUS' <br />Does this mine operate MORE or LESS than 180 days per year? <br />2a. financial Warranty: $ 2b. Permitted acreage: <br />3. Does this mine have a phased reclamation plan? <br />4. Total acres affected during the report year:* <br />5. total acres reclaimed for the report year:* <br />YES NO _ <br />MORE LESS <br />YES NO <br />None <br />Back Sloping <br />6. Total acres in various stages of reclamation:* <br />a. Backfilled: d. Topsoil replaced: <br />b. Graded: Average topsoil thickness <br />c. Seeded: replaced: <br />List species seeded & seeding <br />rate for report year on back <br />7. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:' None <br />8. Estimated total acres to be affected in the next report year:* Unknown <br />9. COMMENTS: <br />* Please show the location of the acreage for items 4 - 6 on your map**. <br />Indicate the phases of the reclamation which have been completed, correlated with <br />your timetable. <br />kk NOTE: If there have not been any changes since the last annual report and you <br />previously submitted a map which correctly depicts the current acreage in items 2 <br />through 6, then a new map is unnecessary. However, you must state this fact above. <br />Signature: j(~ (fL~(/i?7.LffC Date <br />Please type or print current contact name, mailing address, and phone number below: <br />Contact Name: Fred W. Olme Phone: (719 > 852-4781 <br />Company: Rio Grande County Road Dept. <br />Address: P. 0. Box 46 <br />Monte Vista, Colorado 81144 <br />Federal Tax ID No. or Social Security No. <br />