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Page 3 of 3 <br /> 13. Is weed control being conducted in accordance with an approved Weed Control Plan? Pae <br /> NO N/A <br /> If"YES", indicate the weed species, control area, control type, application rate and treatment the report map. <br /> 14. Is adequate topsoil reserved for reclamation, based on your approved permit? CYESJ NO N/A <br /> If"NO",please explain: <br /> 15. Is the reserved topsoil vegetated/stabilized in accordance with Rule 3.1.9(l)? OEy 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 and Office of the State <br /> Engineer(Well Permit, S.W.S.P., and/or Permanent Augmentation Plan)? YES „1�10 1/ <br /> 17. Are all hazardous materials stored within approved spill containment structures? ES NO NIA <br /> 18. Is your financial warranty value sufficient to cover the cost to complete reclamation? ES NO N/A <br /> 19. Is your basis for legal right to enter still valid? YE 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 d location of the acreages specified in items 7- 12 and 14. <br /> UPDATED MAP ATTACHED: —I� <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: Jordan C.Burdick <br /> Permittee Company: Jordan C. and Jone L. Burdick <br /> Address: P.O. Box 1385 <br /> Lyons, CO 80540 <br /> Phone Number: (303) 823-5943 <br /> Fax Number: <br /> Email Address: 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 /> i <br /> (✓ V Y ,.a <br /> Si ature of Permittee Co orate Officer,Owner, or Documented Designee Date <br />