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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 N/A <br /> If"YES", indicate the weed species, control area, control type, application rate and treatme e on the report map. <br /> 14. Is adequate topsoil reserved for reclamation, based on your approved permit? YES NO N/A <br /> If"NO", please explain: <br /> 15. Is the reserved topsoil vegetated/stabilized in accordance with Rule 3.1.9(1)? OYE ' <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 an ice of the <br /> Engineer(Well Permit, S.W.S.P., and/or Permanent Augmentation Plan)? eE� <br /> NO 5/X <br /> 17. Are all hazardous materials stored within approved spill containment structures? NO N/A <br /> 18. Is your financial warranty value sufficient to cover the cost to complete reclamation? aE NO N/A <br /> 19. Is your basis for legal right to enter still valid? S NO <br /> 20. Does your permit require you to submit monitoring information annually? ES NO 61A <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 o3,34-32.5-116), attach a map to this report that accurately depicts the <br /> permit boundary, current affected area b ndary and location of the acreages specified in items 7- 12 and 14. <br /> UPDATED MAP ATTACHED: <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: Thomas G.Mathias <br /> Permittee Company: Mathias Concrete Inc <br /> Address: 1500 N. Farm Rd. <br /> P.O.Box 266 <br /> Monte Vista, CO 81144 <br /> Phone Number: (719) 852-3732 <br /> Fax Number: (719) 852-3759 <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 /> Signature of of Permittee, Corporate Offfeer, Owner,or Documented Designee Date <br />