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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 '- 0 NIA <br />If "YES ", indicate the weed species, control area, control type, application rate and treatment date on the re map. <br />14. Is adequate topsoil reserved for reclamation, based on your approved permit? 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 f theSt<e <br />Engineer Permit, S.W.S.P., Augmentation Plan)? Y E S <br />(Well and/or Permanent <br />L J`' <br />Permittee Company: <br />17. Are all h zardous materials st red within approved spill containment structures? <br />YES NO <br />CA <br />4469 County Rd 108 <br />Mosca, CO 81146 <br />Phone Number: <br />18. Is your financial warranty value sufficient to cover the cost to complete reclamation? <br />YES NO <br />N/A <br />(719) 378 -2530 <br />Email Address: <br />19. Is your basis for legal right to enter still valid? <br />NO <br />20. Does your permit require you to submit monitoring information annually? <br />YES NO <br />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 are ou ary and location of the acrea s specified in items 7- 12 and 14. <br />UPDATED MAP ATTACHED: 'ar(%/'tLi� W Q/J q e?•j0 �2G� <br />��//��// , <br />Division records indicate he following permittee contact info ilatiiS lrre , p� Me <br />print current contact information: �. l <br />aq Xa� 1� C,)Z u4LI, % tg-rG1.1ti4.,j c%yQ�l� - <br />Permittee Contact: <br />James Cooley <br />Permittee Company: <br />Cooley & Sons Excavating, Inc. <br />Address: <br />4469 County Rd 108 <br />Mosca, CO 81146 <br />Phone Number: <br />(719) 378 -2520 <br />Fax Number: <br />(719) 378 -2530 <br />Email Address: <br />CIF-PR-Onla}1 <br />CI D 0 tt j aliQlS ,7„5, (d (Ma <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 />Signature of <br />Owner, or Documented Desimee <br />--7 //� // 4 /- <br />Date <br />