2014-10-21_REPORT - M2005069

• Permit No: M2005069
• IBM Index Class Name: Report
• Doc Date: 10/21/2014
• Doc Name: Annual Fee/Report/Map
• From: Encana Oil & Gas ‎(USA)‎ Inc
• To: DRMS
• Email Name: SJM
• Email Name: GRM
• Media Type: D
• Archive: No

r
Page 3 of 3
13. 1s weed control being conducted in accordance with an approved Weed Control Plan? (ZK�) NO N/A
If"YES",indicate the weed species, control area,control type,application rate and treatment date on the report map.
14. Is adequate topsoil reserved for reclamation, based on your approved permit? 'ES NO NIA
If"NO",please explain:
15. Is the reserved topsoil vegetated/stabilized in accordance with Rule 3.1.9(1)? ®E NO N/A
If"NO"please explain:
16. If mining has exposed groundwater, is the site in compliance with the approved mining plan and Office of the State
Engineer(Weil Permit, S.W.S.P.,and/or Permanent Augmentation Plan)? YES NO (1
17, Are all hazardous materials stored within approved spill containment structures? YES NO 0
18. Is your financial warranty value sufficient to cover the cost to complete reclamation? <M NO N/A
19. Is your basis for legal right to enter still valid? (U�) NO
20. Does your pen-nit require you to submit monitoring information annually? YES ® N/A
If"Yes",please attach the required monitoring results to this Annual Report.
21. As required by Colorado Mined Land Reclamation Act and/or Colorado Land Reclamation Act for the Extraction of
Construction Materials(C.R.S. 34-32-116 or 34-32.5-116),attach a map to this report that accurately depicts the
permit boundary,current affected area boundary and location of the acreages specified in items 7- 12 and 14.
UPDATED MAP ATTACHED:
Division records indicate the following pennittee contact information. If this information is not current,please type or
print current contact information:
Permittee Contact: CF.PR.contact first name Regulatory Dept./Jason Eckman
CF.PR.contact7last name
Permittee Company: CF.PR.company_name Encana Oil&Gas(USA)Inc
Address: CF.PR.address 1
143 Diamond Ave
CF.PR.city, CF.PR.state Parachute,CO 81635
CF.PR.zip_code
Phone Number: CF.PR.telephone_number 970-285-2656
Fax Number: 970-285-2691
Email Address: CF.PR.email
[e-mail]
I,the undersigned,hereby state that the information provided in this report is true and accurate, and that site operations are
being conducted in accordance with the Division approved mining and reclamation plans.
October 13,2014
Sigrta a of Permittee,Corporate Officer,Owner,or Documented Designee Date