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. - ,~ IIIIIIIIIIIIIIIIIII i <br />Sri <br />Notice of Intent to Continue Mining Operations R E C E I V E D <br />110(21 Annual Report <br />~ Permittee Name: Southwest Properties JAN 3 1 199'. <br />Permit No: M-81-158 <br />Operation Name: Forest Lakes Pit #1 Mined Land <br />Anni versary Date: O1 /26/91 ~eClamation ~)ivision <br />Total: E50.00 (Due on your Anniversary Date) <br />Please return this Annual Report form with your completed Map** and a <br />i check or money order for annual fees due, payable to the Mined Land <br />Reclamation Division, 1313 Sherman Street, Room 215, Denver, Colorado 80203. <br />1. Has your mine been granted TEMPORARY CESSATION STATUS? YES N0 <br />Does your mine have IIJTERMITTENT USE STATUS during the year? -; YES NO <br />::ereby :eyuest iata;~oiLtent use status. <br />2. * Total acres affected during the report year: o <br />3. * Total acres reclaimed for the report year: <br />0 <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 8 seeding <br />rate for report year on back <br />5. * The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year: o <br />6. * Estimated total acres to be affected in the next report year: 0.5 <br />* Please show the location of the acreage for items 2 - 6 on your map. The <br />map shall be to a scale of not less than 100 feet to the inch and not more <br />than 660 feet to the inch. Indicate the phases of the reclamation that <br />which have been completed, correlated with your timetable. <br />** NOTE: If there have not been any changes since the last annual report and <br />you previously submitted a map which correctly depicts the current acreage in <br />items 2 through 6, then a new p is unnecessary. However, you must state this <br />fact in yoyr~current annual rt. '~- No changes from map subc~itted with last <br />/ annual report. <br />Signature: \/ <br />Please type or print current <br />Date: i`z~~/ <br />t name, address, and phone number below: <br />Contact Name: Dale Kortz " Phone: (30; ) 88a-2925 <br />Address: Forest Lakes Metro District <br />P.O. Box 440 1 <br />$ayfiPldTCn 81179 n1~1 <br />- Please Note - Forest Lakes Pletro District is in the process of applying for ~~ <br />transfer of this permit which should be forthcoming within the next 30 days. <br />