2014-05-23_REPORT - M1999004

• Permit No: M1999004
• IBM Index Class Name: REPORT
• Doc Date: 5/23/2014
• From: Tezak Heavy Equipment Co. Inc.
• To: DRMS
• Email Name: TC1
• Media Type: D
• Archive: No

Page 3 of 3
13. Is weed control being conducted in accordance with an approved Weed Control Plan? YES NO /A
If "YEAS ", indicate the w -eed jsapeci�s, contro� rea controLtiy a apnplication rate and treatment date on the report map.
Note: wee control is in a ect: at t sp tn1 e,site; owever, no weed
c6atrol was required during this term.
14. Is adeg4at.`e topsoil reserved for reclamation, based on your approved permit? (Yb NO N/A
If "NO ", please explain:
15. Is the reserved topsoil vegetated/stabilized in accordance with Rule 3.1.9(1)? ES NO N/A
If "NO" please explain:
16. If mining has exposed groundwater, is the site in compliance with the approved mining plan and Office 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?
YES
NO
/A
18. Is your financial warranty value sufficient to cover the cost to complete reclamation?
(0
NO
N/A
19. Is your basis for legal right to enter still valid?
Y: 2ED
NO
CF.PR.email
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
permit boundary, current affectediarea boundary and location of the acreages specified in items 7- 12 and 14.
UPDATED MAP ATTACHED: tes
Division records indicate the following permittee contact information. If this information is not current, please type or
print current contact information:
Permittee Contact:
Randy DiLuzio
Permittee Company:
Tezak Heavy Equipment Co.
Inc.
Address:
205 Tunnel Dr.
Canon City, CO 81212
Phone Number:
(719) 269 -1173
Fax Number:
(719) 269 -1148
Email Address:
CF.PR.email
rdiluzio @tezakheavyequipment.com
I, the undersigned hereby state that the information provided in this report is true and accurate, and that site operations are
being conduc acepfdjance }nth the D*ision approved mining and reclamation plans.
Owner, or Documented Designee
ao /c�,21(9,
D to