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Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date: <br />Total : <br />Notice Of Intent to Continue Mining Operations <br />112C Construction Material Annual Report <br />Denver Water <br />M- 2004 -078 <br />Lupton Lakes Resource <br />17- Oct -11 <br />$791.00 <br />1. a. Permitted acreage: 358 b. County where mine is located: Weld <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? No <br />Does this mine operate MORE or LESS than 180 days per year? More <br />3. Does this mine have a phased reclamation plan? Yes <br />4. Additional acres affected during report year: +/- 20 <br />5. Additional acres reclaimed during report year : 0 <br />6. Additional acres in topsoil replaced during report year: 0 <br />a. Average thickness of topsoil replaced 0 <br />7. Additional acres seeded during report year: 0 <br />a. List species seeded and seeding rate for report year on back <br />8. For non - phased operations provide dates extraction ceased: N/A <br />a. Date reclamation began: N/A <br />9. The type and approximate quantity of fertilizers, organic material <br />or soil conditioners used for the report year: None <br />10. Estimate additional acres to be affected during next report year: +/- 20 <br />11. <br />Signature <br />COMMENTS: Mining operation ongoing. <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 your timetable. For phased <br />operations show dates extraction ceased and dates reclamation began. <br />Current • act name, mailing address, and phone number below: <br />Contact Name: <br />Company: <br />Phone: <br />Fax: <br />Email: <br />Address: <br />John H. Bambei, Jr. <br />Denver Water <br />(303) 628 -6669 <br />(303) 628 -6851 <br />john.bambei(�denverwater.orq <br />1600 W. 12th Avenue <br />Denver, CO 80204 <br />