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e� <br />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 treatment date on the report map. <br />14. Is adequate topsoil reserved for reclamation, based on your approved permit? Cii; 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 the State <br />Engineer (Well Permit, S.W.S.P., and/or Permanent Augmentation Plan)? YES NO N A <br />17. Are all hazardous materials stored within approved spill containment structures? YES NO /A <br />18. Is your financial warranty value sufficient to cover the cost to complete reclamation? YES NO N/A <br />19. Is your basis for legal right to enter still valid? C� NO <br />20. Does your permit require you to submit monitoring information annually? YES � 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: A <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 />Louis Anderson <br />Permittee Company: <br />Jefferson County <br />Address: <br />21401 Golden Gate Canyon <br />Road <br />Golden, CO 80403 -8108 <br />Phone Number: <br />(303) 271 -5205 <br />Fax Number: <br />(303) 271 -5222 <br />Email Address: <br />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 Permittee, Corporate Officer, Owner, or Documented Designee Date <br />