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r'V`0Ynt o -5 ,L[ <br />Page 3 of 3 <br />13. Is weed control being conducted in accordance with an approved Weed Control Plan? YES NO N/A <br />If "YES ", indicate the weed species, control area, control type, application rate and treatment ate on the report 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" lease explain: <br />P `.� <br />16. If mining has exposed groundwater, is the site in compliance with the approved mining pla ffice of the State <br />Engineer (Well Permit, S.W.S.P -, and /or Permanent Augmentation Plan)? YES NO NIA <br />17. Are all hazardous materials stored within approved spill containment structures? -YE NO N/A <br />18. 1s 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? YES NO <br />20. Does your permit require you to submit monitoring information annually? YES NO 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 A'1 "I'ACIIED: __ <br />Division records indicate the following pen-nittee contact information. If this information is not current, please type or <br />print current contact information: <br />Per mittee Contact: <br />Flloyd Everet <br />Pernitlee Company: <br />Monter, a County <br />-- <br />Address: <br />1680 North Dolores Road <br />€ <br />Cortez, CO 81321 <br />Phone Number: <br />(970) 565 -8666 <br />-- <br />Fax Number: <br />(970) 565 -8252 <br />Email Address <br />- <br />CE.1k -miC' <br />�"�'� ��aN� 9 CO. Co.t�1.�� <br />J <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 PermitteexorporatOOfficer, Owner, or Documented Designee <br />11-0 — <br />Date <br />£Oo /coo'd ZLO# 9s:EZ tiLOZ /LZ /Vo Z9Z899SOL6 1d3o dvoH Oc) vWr1Z31N0VTLU0J=1 <br />