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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 6 <br /> If"YES", indicate the weed species, control area, control type, application rate and treatment date on the report map. <br /> 14. Is adequate topsoil reserved for reclamation, based on your approved permit? ES NO N/A <br /> If"NO",please explain: <br /> 15. Is the reserved topsoil vegetated/stabilized in accordance with Rule 3.1.9(l)? OE <br /> 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 <br /> Engineer(Well Permit, S.W.S.P., and/or Permanent Augmentation Plan)? YES NO / <br /> 17. Are all hazardous materials stored within approved spill containment structures? YES NO 0 <br /> 18. Is your financial warranty value sufficient to cover the cost to complete reclamation? NO N/A <br /> 19. Is your basis for legal right to enter still valid? ES 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 and location of the acreages specified in items 7- 12 and 14. <br /> UPDATED MAP ATTACHED: `1 FS 0-41" QEV. k a AA 20/4 <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: Jacob D. Eisel <br /> Permittee Company: Nuvemco, LLC <br /> Address: P.O. Box 1120 <br /> Broomfield, CO 80038 <br /> Phone Number: (303) 666-7852 <br /> Fax Number: (720)407-7676 <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 /> 6r aau tic , r n Mqw44a <br /> gr �S�Zic�tGYi� i1� rrA�v,¢6Q� <br /> ell fb-b/,, ' <br /> Signature of Permitiee orpoyowofricer,Owner,or Documented Designee Date <br />