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- -- <br />.. IIIIIIIIIIIIIIIIIII RECEIVED <br />Notice of Intent t„ .,.,,,..999 ... ....., Operat~~s~ ~ ~~ <br />110(2) Annual Report ®ENVER <br />Permittee Name: City of Monte Vista OIVISIOn01iH~naruisxGeologyO~FICE <br />Permit No: M-92-060 ~ <br />Operation Name: Lagoon Pit* <br />Anniversary Date: 10/20/96 <br />Total: $225.00 (Due on your Anniversary Date) <br />1. a. Permitted acreage: ~ arrPC b. County where mine is located: xio Grande <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? YES <br />Does this mine operate MORE or LE55 than 180 days per year? MORE ESS <br />Do you extract MORE or LESS than 70,000 tons of mineral or <br />overburden a year? MORE LESS <br />3. Does this mine have a phased reclamation plan? YES NO <br />0 <br />4. Total acres affected during the report year:* <br />5. Total acres reclaimed for the report year:* o <br />6. Total acres in various stages of reclamation:* <br />a. Backfilled: ~ d. Topsoil replaced: o <br />b. Graded: ~ Average topsoil thickness <br />c. Seeded: o replaced: <br />List species seeded & seeding <br />rate for report year on back <br />7. The type and approximate quantity of fertilizers, organic material or soil <br />conditioners used for the report year:* none <br />8. Estimated total acres to be affected in the next report year:* o <br />9. COMMENTS: <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 <br />your timetable. <br />** NOIE: If there have not been any changes since the last annual report and you <br />previously submitted a map which correctly depicts the current acreage in items 2 <br />through 6, then a new map,is unnecessary. However, this must be stated above. <br />Signature:\~~~.,, ~T~,vaw.r/ Date: D "•.1O'~ <br />Please type or print current contact name, mailing address, and phone number below: <br />David Howard, City Manager 719 852-2692 <br />Contact Name: Phone: ( ) <br />Company: <br />Address: <br />(`i ty of Mnnha Vista <br />4 Chico Camino <br />Monte Vista, CO 81144 <br /> <br />Federal Tax ID No. or Social Secu~~it~~ No.: <br />