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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 N/A <br />If "YES ", indicate the weed species, control area, control type, application rate and treatment da e on the report map. <br />14. Is adequate topsoil reserved for reclamation, based on your approved permit? YE 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 a -Office of the State <br />Engineer (Well Permit, S.W.S.P., and /or Permanent Augmentation Plan)? YES NO N/A <br />17. Are all hazardous materials stored within approved spill containment structures? YE NO N/A <br />18, Is your financial warranty valuesufficient to cover the cost to complete reclamation? YES NO N/A <br />19. Is your basis for legal right to enter still valid? YE NO <br />20. Rocs your permit require you to submit monitoring information annually? YES N/A <br />If "Yes ", please attach the required monitoring results to this Annual Report. �J <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 pennittee contact information. If this information is not current, please type or <br />print current contact information: <br />Permittee Contact:_... <br />#'Qa4J4 undtrcc <br />- _- <br />I_ <br />kti 1 Le o, <br />Penuittec Company: <br />Montezuma County ( Road <br />Department ) <br />_JI__t -� <br />1 Address: <br />I <br />109 West Main Street <br />—_ <br />Cortez, CO 81321 <br />Phone Number: <br />(970) 565 -8666 <br />1 <br />Fax Number: <br />S QL in <br />Email Address: <br />- - ----- ---- <br />CF.PR.ennail <br />---- - - --� <br />r'en l„�- � Co. tmwni czwm& c ©. <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 Perrnitte'l,, Corporate Officer, Owner, or Documented Designee <br />4-a- A <br />Date <br />E001ZOo'd Zoo# 99 :£Z V40z14Z1V0 eSeS999OL6 1d34 ovoH Oo viNnZ31N0W--LU0Jd <br />