2013-09-26_REPORT - M1980205

• Permit No: M1980205
• IBM Index Class Name: REPORT
• Doc Date: 9/26/2013
• From: Select Materials
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Email Name: PSH
• Media Type: D
• Archive: No

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13. Is weed control being conducted in accordance with an approved Weed Control Plan? ES NO N/A
If "YES ", indicate the weed species, control area, gcontrol type, application rate and treatment a eon the report map.
M00ir � disun�P
14. Is adequate topsoil reserved for re amation, base on your approved permit? NO N/A
If "NO ", please explain:
15. Is the reserved topsoil vegetated/stabilized in accordance with Rule 3.1.9(1)? YES NO /A
If "NO" please explain:
16. If mining has exposed groundwater, is the site in compliance with the approved mining plan and Office of thSStalq
21. As required by Colorado Mined Land Reclamation Act and /or Colorado Land Reclamation Act for the Extraction of
Construction Materials (C.R.S. 34 -32 -116 or 34- 32.5 -116), attach a map to this report that accurately depicts the fi
permit boundary, current affected area boundary and location of the acreages specied in items 7- 12 and 14.
UPDATED MAP ATTACHED: -1
Engineer (Well Permit, S.W.S.P., and /or Permanent Augmentation Plan)? YES NO N/A
17. Are all hazardous materials stored within approved spill containment structures? YES NO N/A
18. Is your financial warranty value sufficient to cover the cost to complete reclamation? (YES) NO N/A
19. Is your basis for legal right to enter still valid? ES NO
20. Does your permit require you to submit monitoring information annually? YES NO N/A
If "Yes ", please attach the required monitoring results to this Annual Report
Division records indicate the following permittee contact information. If this information is not current, please type or
print current contact information:
Permittee Contact:
Robert D. Oman
Permittee Company:
Select Materials, LLC
Address:
P.O. Box 280
Fort Lupton, CO 80621
Phone Number:
(303) 857 -4688
Fax Number:
(303) 857 -4638
Email Address:
.
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Division records indicate the following permittee contact information. If this information is not current, please type or
print current contact information:
Permittee Contact:
Robert D. Oman
Permittee Company:
Select Materials, LLC
Address:
P.O. Box 280
Fort Lupton, CO 80621
Phone Number:
(303) 857 -4688
Fax Number:
(303) 857 -4638
Email Address:
CF.PR.email
3ab @5eA&G rnoAerl* s net
I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are
being conducted in accordance with the Division approved mining and reclamation plans.
is
of Permittee, Corporate Officer, Owner, or Documented Designee
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Date