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Permittee Name: <br />Oration Name: County: <br />Annual Fee Due: Anniversary Date: <br />Permit Acreage: Current Bond Amt: • - <br />rsp' . fes .e � crj 7 <br />According to C.RS. 34 - 116 or 34 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 mmnitoring <br />information, reclamation accomplished to date and during the preceding year, any new disturbance that is anticipated to <br />during the miming year, any rec amation that will be performed during the upcoming year, the dates foi the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Information contained in this report w t�ll te reviewed. by_the Div_i on— u 1 pp'iotto rhea neatt cmpliaT ce <br />inspection of the site. If, while completir g 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 final 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 ti1eri,;, ? .. <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) <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 />12. Total acres in various stages of reclamation, since permitted mining <br />Total acres Total acres Total acres <br />backfilled: i9 seeded w/ w/topsoil <br />approved mix: replaced: <br />Total acres <br />fertilized w/ <br />apvd fertilizer: <br />Total acres <br />graded: <br />{, a2ed <br />110(21 Annual Report <br />t lar..J .1,. J Permit Nom: <br />8S8b- 1sL8 -S8L <br />Topsoil <br />replacement <br />depth (in.): <br />activities began: <br />XH3 13C83SEJ1 dH <br />Total acres <br />mulched w/ <br />approved mulch: <br />Mulch application <br />rate (tons): <br />YES <br />MOR1 <br />NO <br />NO <br />YE NO <br />NO <br />,e4=5 <br />81 :SI 2102 02 ..idd <br />