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Page 3 of 3 <br />13. Is weed control being conducted in accordance with an approved Weed Control Plan? <br />ES NO N/A <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? <br />YES NO N/A <br />If "NO ", please explain: <br />Address: • <br />15. Is the reserved topsoil vegetated/stabilized in accordance with Rule 3.1.9(1)? <br />YE NO N/A <br />If "NO" please explain: <br />(719) 783 -2281 <br />16. If mining has exposed groundwater, is the site in compliance with the approved mining plan arldXIffice of the State <br />Engineer (Well Permit, S.W.S.P., and/or Permanent Augmentation Plan)? <br />YES NO N/A <br />17. Are all hazardous materials stored within approved spill containment structures? <br />YES NO N/A <br />18. Is your financial warranty value sufficient to cover the cost to complete reclamation? YES NO /A <br />19. Is your basis for legal right to enter still valid? Yi-:S N <br />20. Does your permit require you to submit monitoring information annually? Y 5 NU 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 />;,apt(j(jn Air }141 R.S. 34 -32 -116 or 34- 32.5 -116), attach a map to this report that accurately depicts the <br />t, er tbqqund,4r}, Gil; elnt affected area boundary and location of the acreages specified in items 7- 12 and 14. <br />A`I'1✓D 3'vl'aP' A'I�T`ACHED: ye f2 <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 Contalct: <br />David Trujillo <br />ua+ C,hr{ssenr <br />Permittee Coin any: <br />Custer County <br />Address: • <br />P.O. Box 1669 <br />Westcliffe, CO 81252 <br />Phone Number: <br />(719) 783 -2281 <br />Fax Number: <br />(719) 783 -0391 <br />- <br />Email Address: <br />CF.PR.email <br />1, the undersigned, hereby state that the information provided in this report is true and accurate, arid that site operations are <br />being conducted in accordance with the Division approved minim and reclamation plans. <br />Signature of Perm iftee, Corporate Officer, Owner, <br />Date <br />1 4 <br />