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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 e on 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)? OYES 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 th- State,\ <br />((Engineer (Well Permit, S.W.S.P., and/or Permanent Augmentation Plan)? YES NO N /Aj <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? YES NO N/A� <br />19. Is your basis for legal right to enter still valid? YE�S 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: Q=�) <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 />-ell--, <br />Permittee Company: <br />Adams County <br />(n� <br />o u (1 U J JCk <br />Address: <br />9755 Henderson Rd <br />_ _ 1 i Id <br />� <br />�� �J <br />Brighton, CO 80601 <br />Phone Number: <br />- {303). -637 -89-3-9— <br />(303 �3 '� — 8 oo(b <br />Fax Number: <br />(303) 637 -8015 <br />( 3U3 _ 2�g UIS <br />Email Address: <br />�GR:PlZ.zmaii- <br />(i (no �(c2 c; W -1 1 0 ' <br />— U U <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 of Permittee, Cofporate Officer, Owner, or Documented Designee <br />Date <br />