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Page 3 of 3 <br />13. Is weed control being conducted in accordance with an approved Weed Control Plan? YES NO NIf "YES ", indicate the weed species, control area, control type, application rate and treatment date on the repo map. <br />14. Is adequate topsoil reserved for reclamation, based on your approved permit? YES O N/A <br />If "NO ", please explain: <br />15. Is the reserved topsoil vegetated/stabilized in accordance with Rule 3.1.9(1)? n YES NO N/A <br />If "NO" please explain: WOS BUT AQ3 /n 6 Ail' H AMC �,cG�Z'� .t/ d /V 7! 70 g ff i' <br />16. If mining has exposed groundwater, is the site in compliance with the approved mining plan and Office of th to <br />Engineer (Well Permit, S.W.S.P., and/or Permanent Augmentation Plan)? YES NO N/A <br />17. Are all hazardous materials stored within approved spill containment structures? YES NO N/A <br />18. Is your financial warranty value sufficient to cover the cost to complete reclamation? YES NO N/A <br />19. Is your basis for legal right to enter still valid? AYES, ` NO <br />20. Does your permit require you to submit monitoring information annually? YES f N N/A <br />If "Yes ", please attach the required monitoring results to this Annual Report. __, <br />21. As required by Colorado Mined Land Reclamation Act and /or Colorado Land Reclamation Act for the Extraction of <br />Construction Materials (C.R.S. 34 -32 -116 or 34- 32.5 -116), attach a map to this report that accurately depicts the <br />permit boundary, current affected area boundary and location of the acreages specified in items 7- 12 and 14. <br />UPDATED MAP ATTACHED: P5 <br />Division records indicate the following permittee contact information. If this information is not current, please type or <br />print current contact information: <br />Permittee Contact: <br />Laurine Koellner <br />Permittee Company: <br />L & L Ready Mix <br />Address: <br />P.O. Box 218 <br />Haxtun, CO 80731 <br />Phone Number: <br />(970) 774 -6114 <br />Fax Number: <br />(970) 774 -6114 <br />Email Address: <br />CF.PR.email <br />I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are <br />being conducted in accordance with the Division approved mining and reclamation plans. <br />712 <br />Signature of Permittee, Corporate Officer, Owner, or Documented Designee Date <br />