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Page 3 of 3 <br />13. Is weed control being conducted in accordance with an approved Weed Control Plan? S O N/A <br />If "YES ", indicate the weed species, control area, control type, application rate and treatmen ate on the report map. <br />14. Is adequate topsoil reserved for reclamation, based on your approved permit? NO N/A <br />If "NO ", please explain: <br />15. Is the reserved topsoil vegetated/stabilized in accordance with Rule 3.1.9(1)? 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 rof ce the State <br />Engineer (Well Permit, S.W.S.P., and/or Permanent Augmentation Plan)? N/A <br />17. Are all hazardous materials stored within approved spill containment structures? / YE NO N/A <br />18. Is your financial warranty value sufficient to cover the cost to complete reclamation? � %YEE NO N/A <br />19. Is your basis for legal right to enter still valid? YESw NO <br />20. Does your permit require you to submit monitoring information annually? YES NO 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 b x and location of the acreages specified in items 7- 12 and 14. <br />UPDATED MAP ATTACHED: 4/0 481,-s C k a-vje5 1 <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 />Thomas G. Mathias <br />Permittee Company: <br />Mathias Concrete Inc <br />Address: <br />1500 N. Farm Rd. <br />P.O. Box 266 _ <br />Monte Vista, CO 81144 <br />" <br />Phone Number: <br />(719) 852 -3732 <br />Fax Number: <br />(719) 852 -3759 <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 <br />-V <br />or Documented Designee Date <br />