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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 a eon the report map. <br />14. Is adequate topsoil reserved for reclamation, based on your approved permit? YES NO N/A <br />If "NO ", please explain: <br />15. Is the reserved topsoil vegetated/stabilized in accordance with Rule 3.1.9(1)? ES 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� <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 N/A <br />18. Is your financial warranty value sufficient to cover the cost to complete reclamation? CYCS NO N/A <br />19. Is your basis for legal right to enter still valid? (�F 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 boundary and location of the acreages specified in items 7- 12 and 14. <br />UPDATED MAP ATTACHED: W 05 <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 />Jordan Sasser <br />Ada ��c.KR..r <br />Permittee Company: <br />Hard Rock Paving and Redi- <br />Mix, Inc. <br />Address: <br />P.O. Box 37 <br />P o Ia5 <br />Salida, CO 81201 <br />Owioh N4% L10 &.-,JS <br />Phone Number: <br />(719) 539 -2222 <br />� lit •a15 -�au� <br />Fax Number: <br />Email Address: <br />CF.PR.email <br />anA cow . CO m <br />V <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 acco4ance with the Division approved mining and reclamation plans. <br />3-/8- iS <br />Signature #fTlermittee, Co�Fate Officer, Owner, or Documented Designee Date <br />