2015-02-12_REPORT - M2002094

• Permit No: M2002094
• IBM Index Class Name: REPORT
• Doc Date: 2/12/2015
• Doc Name: Annual Report Fee Map
• From: Hank Williams, Inc. dba Williams Construction Contractors
• To: DRMS
• Email Name: DMC
• Media Type: D
• Archive: No

Page 3 of 3
Division records indicate the following permittee contact information. If this information is not current, please type or
print current contact information:
Permittee Contact:
13. -Is weed control being conducted in accordance with an approved Weed Control Plan?
( YES NO N/A
If "YES ", indicate the weed species, control area, control type, application rate and treatme
on the report map.
14. Is adequate topsoil reserved for reclamation, based on your approved permit?
NO N/A
If "NO ", please explain:
county
Address:
15. Is the reserved topsoil vegetated/stabilized in accordance with Rule 3.1.9(1)7
NO N/A
If "NO" please explain:
Grand Junction, CO 81502-
16. If mining has exposed groundwater, is the site in compliance with the approved mining plan and Office of the e
Engineer (Krell Permit, S.W.S Y., and/or Permanent Augmentation Plan)?
YES NO N/A
17. Are all hazardous materials stored within approved spill containment structures?
YES NO N/A
18. Is your financial warranty value sufficient to cover the cost to complete reclamation?
NO NIA
Fax Number:
[phone]
19. Is your basis for legal right to enter still valid?
NO
20. Does your permit require you to submit monitoring information annually?
YES (EO) N/A
If "Yes ", please attach the required monitoring results to this Annual Report.
21. As required by Colorado Mined Land Reclamation Act and/or Colorado Land Reclamation Act for the Extraction of
donstruction Materials (C.RS. 34-52-116 or 3432.5 -116), attach .a. map to this report that accurately depicts the
- -- -permit boundary; current affected area�atndary and location of the acreages specified in
items 7 -12 and 14.
UPDATED MAP ATTACHED: r//
Division records indicate the following permittee contact information. If this information is not current, please type or
print current contact information:
Permittee Contact:
JasonBurkey
Permitttee Company:
Oldcastle SW Group, Inc. dba
United Companies ofMesa
county
Address:
P.O. Box 3609
Grand Junction, CO 81502-
3609
Phone Number:
[phone]
Fax Number:
[phone]
Bmail Address:
CF.PR.email
x the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are
being conducted in accordance with the Division approved mining and reclamation plans.
Signature of PeraHittee. Coraorate Officer, Om er or Documented Designee Date