2014-06-17_REPORT - M2004017

• Permit No: M2004017
• IBM Index Class Name: Report
• Doc Date: 6/17/2014
• Doc Name: Annual Fee/Report/Map
• From: Willits Company, Inc.
• To: DRMS
• Email Name: PSH
• Media Type: D
• Archive: No

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13. Is weed control being conducted in accordance with an approved Weed Control Plan? YES O N/A
If"YES", indicate the weed species, control area, control type, application rate and treatment date on t report map.
14. Is adequate topsoil reserved for reclamation,based on your approved permit? ES NO N/A
If"NO",please explain:
15. Is the reserved topsoil vegetated/stabilized in accordance with Rule 3.1.9(l)? 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 51<e
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? ES NO N/A
19. Is your basis for legal right to enter still valid? ES)
NO
20. Does your permit require you to submit monitoring information annually? YES &O 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 affected are oundary and location of the acreages specified in items 7- 12 and 14.
UPDATED MAP ATTACHED:
Division records indicate the following permittee contact information. If this information is not current,please type or
print current contact information:
Permittee Contact: Bob Willits
Permittee Company: Willits Company, Inc.
Address: P.O. Box 825
Cheyenne,WY 82003
Phone Number: [phone]
Fax Number: [phone]
Email Address: CF.PR.email
I,the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are
being conducted in accor nce with t e Division approved mining and reclamation plans.
V
Signature of Permi ee,Corporate Officer,Owner,or Documented Designee Date
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