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Page 3 1113
<br />s -16
<br />I I'. t•, (rd c till 1(4 hc111), condncicd ill ,Iccoldance wills an apploved Weed Conllol Hall? VFS (00 N/A
<br />II " \'I : ; ", nl-llr:llr dw �tccd .prrics, CmIll(11 .0 ca, conUol type, applicaliom Tale and Ircalmcmt dale oil Ills rcpoll mall'.
<br />I I
<br />1,; a(I, ,In;Ilc l,lpsoil Ic.(•I \ell Ior Icclanlation, based on your apploved pclm1i17 trYI;S NO N/A
<br />II "11( ► ", plcr.c c�plaiu
<br />r --
<br />1
<br />I-, lilt, lc, l Itcd kgv,oll �cl•clalydlslahili�cd in accol(lance will) Rule 3.1.9(1)'? l'I;S) NO N/A
<br />II "1Jl )" plcxw (',,plain
<br />10. II' nlinnll[ 11w; cXposc(I ),1ouildwatel, is Ills site in Compliance with the approved mining plan and 011ice ofthe State
<br />I'II!'Iflecl I \\'rll I'cnnnil,;:. \\'.ti P.,;md /o1 Pcimancnl Angincn(alimi flan)'?
<br />Y1 I'S
<br />NO
<br />N/A
<br />/L, a G1,)tl,0 k;- - .-5 v3J J,) Jam/ 6W,--Ic -
<br />all II,I;aI(I„u: nn:llcnrnl: r.loncd within apploved spill containnlcr►( structulcs7
<br />)TS
<br />NO
<br />N/A
<br />I.. I•. •,oun IIII.IIFcl ;l1 \(;Manly value sullicicnl to cover the co,,( to complete reclamalio117
<br />(_Y
<br />NO
<br />N/A
<br />I' ►. k oml h'I••i•, I,II Ic1 al Ill'lll to cnlcl slill valid?
<br />YI:S7
<br />NO
<br />'11 I) lc•, \11111 pclnlil w(tunc Noll to sllllluil Inoniloling inkilIllalloll annually?
<br />YFS
<br />NO )
<br />N/A
<br />11 „ \•t ": pll ;I,,c x11,1( h lilt' w(plllcd 111ollifo11I1 }( iestllts to Ihis Animal Repoit.
<br />:I A., Ic(II111('d Iry ('ololado NImcd Land Rcclan(alion Act and /or Colorado Latin Reclamation /pct for the Extraction ol'
<br />('(nr,llnclion �lalcli ;ll. (('.I? `i 14-32-110 or 34- 32.5 -116), allach a map to Ihis Iepolt that acculalely depicls the
<br />pr Iull bill II Itlal N•, ( III Icnl ;111(.( Icd al ca hou Ida ly and location oft I ic acreages specified in item is 7- 12 and Id.
<br />11111);\'1I I)NIAP \'I Ii \('III
<br />I hvi"Iml Icc,lldl. nn,li( :Ile Ill(• lollmvili g pCIImllcc conlacl inliltluation. ll*lhis imloIn►ation is not culrcad, please type or
<br />plinl cullcol conlarl inl(,nnr111(nr
<br />I,cIIIIIII('t• 1'onlarl
<br />I'('I mill I1•,• ( '( 11111)'111N
<br />At It I l l••:•.
<br />1 a� 11nlnl,(•n
<br />Ill :III , \A 1, 114-.,
<br />\'t-Ilum IMltY
<br />I )III,•` ; `,;In(l & (11 ;n•cl
<br />I'll I hilli11 ilk
<br />I'.l ► I lnt I /5
<br />('I it l) 1; I )- "X,IO
<br />I ('I .IT, cislil
<br />I. 1h.. un l I wit -(I, 11-100 \ .I. Ir 111.11 Ilw inlollnallon plovidrd in Ibis rcporl is Uuc and acculalc, and Ihal site operations are
<br />hc1111, t (ln(Ill-Icll u1 ac, o1d;ilcc idl Isle I )ivimon applovc(I milling and Icclanlalion plans.
<br />tii(�natIll of I'cl nlillcc Col Iulalc 011ficer, (h1ucr, or Dot Inlcnled Desi lice Date
<br />
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