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Page 3 of 3 <br />13 Is weed control being conducted in accordance with an approved Weed Control Plan9 YES NO N/A <br />If "YES ", indicate the weed species, control area, control type, application rate and treatment date on the report map <br />14 Is adequate topsoil reserved for reclamation, based on your approved penrut? YES NO N/A <br />If "NO ", please explain- <br />15 Is the reserved topsoil vegetated /stabilized in accordance with Rule 3.1.9(1)? YES NO N/A <br />If "NO" please explain <br />16 If mining has exposed groundwater, is the site in compliance with the approved mining plan and Office of the State <br />Engineer ( Well Permit, S.W.S.P., and /or Permanent Augmentation Plan)? YES NO N/A <br />17 <br />Are all hazardous materials stored witlun approved spill containment structures? <br />YES <br />NO N/A <br />18 <br />Is your financial warranty value sufficient to cover the cost to complete reclamation? <br />YES <br />NO N/A <br />19 <br />Is your basis for legal right to enter still valid? <br />YES <br />NO <br />20 <br />Does your permit require you to submit monitoring information annually? <br />YES <br />NO N/A <br />CF PR-email <br />If "Yes ", please attach the required monrtot mg 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: <br />Division records indicate the following penmttee contact information If this information is not current, please type or <br />print current contact information <br />Permittee Contact <br />Joe H Thomeczek <br />Permittee Company <br />Bent County Ready Mix <br />Address: <br />P O Box 387 <br />Las Animas, CO 81054 <br />Phone Number. <br />(719) 456 -1320 <br />Fax Number <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 />of Permittee, Corporate Officer, Owner, or Documented Desiznee <br />Date <br />