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Page 3 of 3 <br />1 <br />13. Is weed control being conducted in accordance with an approved Weed Control Plan? YES NO QN If "YES ", indicate the weed species, control area, control type, application rate and treatment date on the repap. <br />14. Is adequate topsoil reserved for reclamation, based on your approved permit? NO N /Al <br />If "NO ", please explain: <br />15. Is the reserved topsoil vegetated/stabilized in accordance with Rule 3.1.9(1)? NO A <br />If "NO" please explain: <br />16. If mining has exposed groundwater, is the site in compliance with the approved mining plan of the State <br />Engineer (Well Permit, S.W.S.P., and/or Permanent Augmentation Plan)? <br />mice <br />ES <br />' VVNO <br />17. Are all hazardous materials stored within approved spill containment structures? <br />YES <br />NO kI 1 <br />18. Is your financial warranty value sufficient to cover the cost to complete reclamation? <br />YES <br />NO N/A <br />(719) 738 -1883 <br />Fax Number: <br />19. Is your basis for legal right to enter still valid? <br />YE <br />NO <br />20. Does your permit require you to submit monitoring information annually? <br />YES <br />1 <br />NO N/ <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 ATTACHED: / <br />Division records indicate the following permittee contact information. If this information is not current, please type or <br />print current contact information: <br />Permittee Contact: <br />Louis Vezzani <br />Permittee Company: <br />Walsenburg Sand & Gravel Co., <br />Inc. <br />Address: <br />P.O. Drawer 352 <br />Walsenburg, C6'81089 <br />Phone Number: <br />(719) 738 -1883 <br />Fax Number: <br />(719) 738 -1883 <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 />Signature of <br />i <br />.r, Owner, or Documented Designee Date <br />