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; <br /> IIII IIII <br />III II ~~CE~~c~~ <br /> ~ I IIIII ! <br /> <br /> aPR 2 1992 <br /> Notice of Intent to Continue Mining Operations Mi <br /> <br />110(2) <br />Annual <br />Report ned <br />R@Clamafi0n ~na.,; <br /> <br />P2rmlttee Name: <br />SOU#.hwBS~~a"-0p6r~5- <br />Forest Lakes Metropo ,~ <br />litan District <br />Permit No: M-81-158 t~ ~~ <br />~ <br />Operation Name: Forest Lakes Pit #1 ~ G~ ~ <br />Anniversary Date: 01/26/92 ~ <br />Total: $120.00 (Due on your Anniversary Date) <br />1. Has your mine been granted TEMPORARY CESSATION STATUS? YES NO <br />Does your mine operate MORE or LESS than 180 days per year? MORE LESS / <br />2. Total acres affected during the report year:* .34 Apres <br />3. Total acres reclaimed for the report year:* o <br />4. 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 />5. The type and approximeite quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* <br />6. Estimated total acres to be affected in the next report year:* o <br />7. COMMENTS: Forest Lal<es Metro District in aurroscinn of n; ararnr a~pltrar;nn <br />process and has utilised pit for road work ;n D'srrirr. PaVmanr cant 7/97fg2, <br />Check /j 7136, $120.00. <br />* Please show the location of the acreage for items 2 - 6 on your map*'. Indicate <br />the phases of the reclamation which have been completed, correlated with your <br />timetable. <br />NOTE: If there have not been any changes since the last annual report and you <br />previously su d a map wh orrectly depicts the current acreage in items 2 <br />through 6, hen a new map i un cessary. However, you must state this fact above. <br />Signatur Date: 3/ Z <br />Please type or print current con ac name, mailin ddress, and phone number below: <br />Contact Name: Dale Korcz Phone: (303 )aa4292s / <br />Company: Forest Lakes Metro District <br />Address: P.o. Box 440 <br />Bayfield, CO 81122 ~ ~~ <br />4 <br />Federal Tax ID No. or Social Security No.: <br />