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Pagc 3 of 3 , <br />H. Is weed co11llol being co11duclal in accordance Willi all approved Weed Control flan? YES �� N/A <br />I ")TS" indicate the Weed species, control area, control type, application rate and treatment date on the report map. <br />I 'I. Is adcyuale IolsoiI rescl vcd hn' 1 Mal I'll loll, based on your approved pern►il? YES NO N/A <br />11"NO ", pleasec.xplai11: <br />15. Is Ilse 1csclved lopsoil vcgclaled /stabilized in accolda11ce with Rule 3.1.9(1)? 1'ES NO N/A <br />I—N(" please explain: <br />16. II' mining has exposed gloundwalcr, is the site in compliance with the approved milling plan and Office of the Stale <br />I'11ginccr ( \%'ell Pc111111, S.W.S.P., and /or Pcinumcnt Aup►enlation 1'1,111)? YES NO N/A <br />Nu 6 01d wa,'Cv " ' - <br />17. Ai c ;ill hazardous 111,11e1 ials stored within approved spill containment structures`? YI:S NO N/A <br />1 S Is )'Inn- 1111a11CMI wa11a111y value sufficient to cover the cost to complete reclamation? YES NO N/A <br />19. Is Hour basis 1111 legal 1igh1 Ice enter still valid? Yl?S NO <br />211. Uocs }our pc1n1i1 M1uilc you to submit 11►oniloling ild'willalion annually? YES N/A <br />If "Yes" please allach Ilse Icyuilcd MOM(oling Icsulls to this Annual Report. <br />21. As 1cquucd by ('oloia(lo tinned land Rcclan►alion Act and /or Colorado Land Recdamalion Act For the Extraction of <br />Cm 11sllucho11 Nl ,it clials W.R.S. 34-32-116 or 34-32.5-116), allach a ►nap to this report that accurately depicts the <br />pr111111 boundvy, e111-1c111 aIIccled area boundary and location of the acreages specified in items 7- 12 and 14. <br />t II I )A] I:1) N'l AP A'I MCI I I`D: <br />Division lecolds 111dicrlte the I.011owing pelmillcc contacl 111101.11►atio11. If this information is not current, please type or <br />print C111-1 ell-( contact M I'M 111,11*o11: <br />Pe1111illce ('onlacl <br />I'cr11111(cc ('ompan) <br />Address <br />Phone Nunlbcl: - <br />Fax N11n1bc1: - - <br />Enrol Addlcss: <br />Vc111on Dillcy - - -- <br />D111cys <br />1914 I "ch11unds St. - - -- - - <br />P.O. Hox 125 <br />Brush, CO 50723 <br />(97()1 842 -28111 — - - -- - - -I <br />(9711) 842- 2284 -- - - - <br />1, the undclsigned, helcby slate that the i111i11-11►atio11 provided in lhis report is flue and accurate, and that site operations are <br />hcing conducted in accordvlce Nvilh the Division approved mining and reclamation plans. <br />Si1,n: ►1►u c of 1'crn►i111 (url►oratc Olrcer, O►� ncr, or 1)ocutucntetl csi �ucc <br />- -- L Date <br />