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Page 3 of 3 <br />i3- 1s weed control being conducted in accord ee with an approved Weed Control Plan? YES NO /A <br />1f "YES", indicate the weed species, control area, control type, Vl?"catiox► rate and treatment data on the report map <br />14. Is adequate topsoil resczved for reclamation, based on your approved permit? YES NO NIA <br />If "NO ", please explain <br />15- Is the reserved topsoil vegctated/stabilized in accordance with Ru1a 3.1.9(1)7 YES NO NIA <br />if "NO" please explain: <br />16. If mining has exposed groundwater, is the site in compliance with the approved mitring plan and Office of the PWRN <br />Engineer (Well Permit, S.W.S.I' -, and/oa: Petmataent Attgznentation Plan)? jfm. w � S NO NlA <br />17. Are all hazardous materials stored within approved spill containment structures? YES NO N/A <br />18. Is your financial warranty value suflieient to cover the cost to complete reclamation? YES NO NIA <br />19. Is your basis for legal Tight to enter still valid? YES NO <br />20. Does your permit require you to submit monitoring Wormatioa annually? 'SIPS NO NIA <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 asap 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: PLO C 1%) IYI A� <br />Division records indicate the following permittee contact information. If this information is not current, please type or <br />print current contact information: <br />PcTmittce Contact: I Shane Cooper <br />Compazxy: Shane Cooper dba Dirt Guys <br />LLC <br />949 Shannon. Rd. <br />Cotopaxi, CO S 1223 <br />Phone Number: (719) 276.3234 Q� '� C� — 3�� `Q 3 7 <br />Fax Number: (719) 27 l `{ 5�-6 <br />EmailAddress. CF.PR.emaul <br />17 the undersigned, hereby state that the information provided in this report is true atld'accurate, and that site operations are <br />being conducted in amordance with the Division approved raining and reclamation, plans. <br />Of Petmittee, Coirparate cer QMMer or Docu aentea Besr�nee <br />1 i V1 q <br />Da <br />