2014-02-13_REPORT - M1985026

• Permit No: M1985026
• IBM Index Class Name: REPORT
• Doc Date: 2/13/2014
• Doc Name: Annual Report AF & Map Already Submitted
• From: Coulson Excavating Company, Inc.
• To: DRMS
• Email Name: PSH
• Media Type: D
• Archive: No

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Page 3 of 3
13. Is weed control being conducted in accordance with an approved Weed Control Plan? Fate NO N/A
If "YES ", indicate the .weed species, control area, control type, application rate and treatment the report map.
14. Is adequate topsoil reserved for reclamation, based on your approved permit? YES NO N/A
If "NO ", please explain: .
15. Is the reserved topsoil vegetated/stabilized in accordance with Rule 3.1.9(1)? Z` ES NO N/A
If "NO" please explain:
16. If mining has exposed groundwater, is the site in compliance with the approved mining P'lakqnd,Qqice
of the State
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?
LY1XE S�
NO N/A
18. Is your financial warranty value sufficient to cover the cost to complete reclamation?
�S
N O N/A
Loveland, CO 80538
19. Is your basis for legal right to enter still valid?
'� YES
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.
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
pennit boundary, current affected area boundary and location of the acreages specified in items 7 -12 and 14.
UPDATED MAP. ATTACHED:
Division records indicate the following permittee contact information. If this information is not current, please type or
print current contact information: I '
Permittee Contact:
Richard Coulson
Permittee Company:
Coulson Excavating Company,
Inc.
Address:
3609 North County Road 13
Loveland, CO 80538
Phone Number:
(970) 667 -2178 .
Fax Number:
(970) 667 -2193
Email Address:,
C- E- PRmenigi -
Q N ny o
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.
Signature of
Owner, or
Date
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