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Page 3 of 3 <br />13. Is weed control being conducted in accordance with an approved Weed Control PIan? YES NO N/A <br />If "YES ", indicate the weed species, control area, control type, application rate and treatment date on the rep ap. <br />14. Is adequate topsoil reserved for reclamation, based on your approved permit? OYES NO N/A <br />If "NO ", please explain: <br />15. Is the reserved topsoil vegetated/stabilized in accordance with Rule 3.1.9(1)? YES 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 th <br />Engineer (Well Permit, S.W.S.P., and/or Permanent Augmentation Plan)? YES NO N/ <br />17. Are all hazardous materials stored within approved spill containment structures? S NO N/A <br />18. Is your financial warranty value sufficient to cover the cost to complete reclamation? S 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/ <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 ocation of the acreages specified in items 7- 12 and 14. <br />UPDATED MAP ATTACHED: Yet. <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: <br />Don Van Wormer <br />/ <br />Permittee Company: <br />City of Monte Vista <br />Crty J, <br />Address: <br />4 Chico Camino <br />q5 Q 15-1 <br />Monte Vista, CO 81144 <br />Phone Number: <br />(719) 852 -2692 <br />(71 g) %S Z— 24 47- , <br />Fax Number: <br />(719) 852 -6172 <br />F55Z, -fir �7 <br />Email Address: <br />CF.PR.email <br />I <br />ra�c� ✓® ,, , j,,4 -- - ✓, %4 Ga • KS <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 />Signature of Permittee, Corporate Officer, Owner, or Documented Designee <br />y <br />ate <br />