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Annual Reclarna~ion gteport III IIIIIIIIIIIIIIII <br />~~ RECCI~'~D <br />This form may be used by coal mines that have not disturbe~~~~a~gp <br />or conducted reclamation activities during the past calendar ~ r . u'"'II''e,, <br />2.04.13 requires that coal mines file an annual reclamation ~,re~oy~,.I,,~~Y <br />covering the previous calendar year, for all aruris urSc~iu~"bond. An <br />Annual RQClamation Ruport is dllu on thu itith of 1=ubnuiry of u~lch <br />yl lflr Illllt !'pt fll ll llt It q' tt/llt• I•. •.t n•t 'I tit •tt III II It1 lu~llllll <br />To use this form, your mine must meet the following criteria: <br />a) has not dishlnc~d additional a~rrayl• daring. Ihr Ir.1.v1 ralr udar vrar. <br />It) Ilan nttl lula'kl'i IIc11 uu11 p,l udctl .lulin Ft, IAr Inutl t a11'uJ111 Y•'ut <br />t~l hmt utq 1..1.o, .l L•J .lutlup Ih•• Int.~l ~ nL•nJ~1t Y• ~n <br />.I1 11.t~. tnd .u ..1..1 IJnn1..1 ,,. nuu ul. ul..1 ., , .1111u •,. u11u1~.1 In,u 11. ..Int 11ttr 111•' :~~r•1 <br />nl••n Jett 1,,..n <br />11 yua ul+•1'1 111r .11n rv1~ .111. 11.1 111.'u IIU• L.II...vln,• Inl•nn1~111. 41 wlll 1~.. .p lrt111H 1t• I~t1 IIM <br />. `.unu•tl ll.-t~l.nn~ll l••n Ilt lt,n 1, <br />Permittee Nlame: ,/ATio NR L ~iN 6 ~,u, l•C c PenmitNo.: C - 8/ - 0 35 <br />Strect Address: yy 2 v ~,c~ /z o <br />City: H!~ SPE,L o/5 L 10 • .Colorado Zip Code: ~/ 3 Z~ <br />This report covers calendar year. 199 <br />Please Note: <br />If this mine has reclaimed acreage in the past., please attach to this form, a list of the <br />locations, number of acres and date of planting for all previously revegetated areas. The <br />permittee may provide additional monitoring information as required by the approved <br />permit. <br />or-(;FI~~~~ <br />In~l 0 q 1997 <br />_. . -JY <br />Lr~_ <br />SignatureofPermittee: ~~----- ~ Date• ~ 6 <br />RPP/rpp/arpform.vvp 2/11/92 <br />