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Total acres <br />Ads Clue <br />Total acres <br />Permit Number: <br />Total acres <br />Operation Name: <br />Total acres <br />R(Atp, Mculft, <br />backfilled: <br />66 <br />seeded w/ <br />155 <br />w /topsoil <br />iss <br />mulched w/ <br />' ` <br />approved mix: <br />,� ' l A <br />replaced: <br />approved mulch: <br />Total acres <br />Total acres <br />Topsoil <br />Mulch application <br />graded: <br />2:46 <br />fertilized w/ <br />apvd fertilizer: <br />15 5 <br />replacement <br />depth (in.): <br />3 <br />rate (tons): <br />219 <br />Seed <br />Fertilizer <br />Mulch <br />Ctit+r2:d <br />application <br />-D <br />application <br />application <br />method: <br />method: <br />method: <br />5 +rat.J <br />Permittee Name: <br />Ads Clue <br />—PcteK5 <br />Permit Number: <br />n1- RM..- ii i4 <br />Operation Name: <br />Ay 4 4 <br />R(Atp, Mculft, <br />County: <br />Mama <br />Annual Fee Due: 4411 ce <br />Anniversary Date: <br />, 20 1 12_ <br />Permit Acreage: 30$.1- <br />Current Bond Amt: <br />,� ' l A <br />112c Annual Report <br />According to C.R.S. 34- 32.5 -116 or 34 -32 -116, each year, on the anniversary date of the permit, an operator shall submit <br />the annual fee, an annual report and map showing the extent of current disturbances to affected land, required monitoring <br />information, reclamation accomplished to date and during the preceding year, any new disturbance that is anticipated to <br />occur during the upcoming year, any reclamation that will be performed during the upcoming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Information contained in this report will be reviewed by the Division upon receipt and prior to the next compliance <br />inspection of the site. If, while completing this report, you learn that your site is not in compliance with the rules and the <br />act, it is advisable that the issues be rectified promptly to avoid possible enforcement action. <br />1. Is the site identification sign posted in accordance with Rule 3.1.12(1) <br />2. Is the affected area boundary clearly marked in accordance with Rule 3.1.12(2) <br />3. Is the mine site in fmal reclamation (all material extraction and stockpile removal is complete)? <br />If "YES," please note time limits related to completion of reclamation, Rule 3.1.3. <br />4. What was the date of last excavation, processing or hauling activity at the mine? <br />5. Does the mine operate more or less than 180 days per year? <br />If "LESS ", please review Rule 1.13 to assure that your mine is in compliance. <br />6. Has this mine been granted: a) approval of TEMPORARY CESSATION Status? <br />b) approval for INTERMITTENT OPERATION? <br />7. Number of acres currently affected (mining + incomplete and or unreleased reclamation) 21 to <br />8. Number of acres that were newly affected during the current report year. <br />9. Number of acres that were reclaimed during the current report year. <br />10. Estimated new acreage to be affected in the next report year. <br />11. Estimated acres to be reclaimed in the next report year. <br />1 <br />YES <br />YES <br />Icombar- 2olt <br />9 <br />