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- -- <br />' ~~~ IIIIIIIIIIIII ~~~ RECEIVED <br />Notice of Intent to co~~~99~e .•.......g Operations <br />110(2) Annual Report NOV 1 6 1994 <br />Permittee Name: City of Monte Vista <br />Permit No: M-92-060 ~ivisionotMineralsBGeology <br />Operation Name: Lagoon Pit <br />Anniversary Date: 10/20/94 <br />Total: $225.00 (Due on your Anniversary Date) <br />1. Has this mine been granted TEMPORARY CESSATION STATUS? YES NO <br />Does this mine operate MORE or LESS 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 />2. Does this mine have a phased reclamation plan? <br />3. Permitted acreage: <br />4. Total acres affected during the report year:* <br />5. Total acres reclaimed for the report year:* <br />6. Total acres in various stages of reclamation:* <br />a. Backfilled: ~ acre d. Topsoil replaced: o <br />b. Graded: o Average topsoil thickness <br />c. Seeded: o replaced: o <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:* § acre <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 Ttimetable. <br />** NOTE: If there have not been any changes since the last annual report and you <br />previously submi ed a map whit correctly depicts the current acreage in items 2 <br />through 6, the ne map is necessary. However, this mu t be stated above. <br />Signature: Date: ~~/~+^~~ ~ ~gy~" <br />Please type or print current contact name, mailing address, and phone number below: <br />Contact Name: <br />Company: <br />Address: <br />YES NO <br />6 acres <br />1 acre <br />0 <br />Arthur Scibelli, City Manage r Phone: ( 719 ) 852-2692 <br />City of Monte Visa <br />720 First AVenue <br />Monte Vista, C(1 A11 G[~ <br />Federal Tax ID No. or Social Security No.: ~ / - 6 dOG 6 ~ O <br />~~~a~ <br />