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x/05/27/2015 WED 15:37 Fax <br />2015-05-22 06:09 3038328106 3038328106 >> <br />I <br />U003/004 <br />P 3/4 <br />fags: 3 of 3 <br />13, Is weed uuntroi being gorulucted in acvmiance with an approved Weed Control Plan? YEAS NO <br />Tf "Yh;S", indieatC thvreed apeciw, control area, control type, application rate and treatment date on the rcWrt map_ <br />14. Is adequate topsoil ri-s rved for reclamation, based on your approved pertnit?Nth N/A <br />If "NO", please CXpht ; <br />1S. IS the reserved topsoil cgetated/stabilized in accordance with Rule 3.1.9(1)7(!PNO N/A <br />If "NO" please explal <br />16. If mining has exposed undwater, is the Rite in compliartce with the approvcxt mining plan and offacc of the SW <br />Pngineer (Wall permitS.W.S.In., and/or Pa natanent Auatncntation Plan)? YES NO E//� <br />17, Are all hazardous mat+als stored within appmved spill containm;nt structures? YES NO <br />18, Is your financial wwTr ty value %Ufic;ient to cover the: cost to complete reclamation? NO N/A <br />19, is your basis for legal right to anter stili valid? � NQ <br />20. Docs your permit rcqui a yon to submit monitoring information annually'r YPS Q) NIA <br />If "Yes", please attach he rcyuired monitoring results to this Annual Report. <br />21. As required by Colora* Mined Land Reclamation Act and/or Colorado Land Rcxlamation Act for the Extraction of <br />Construction Materials KCKS, 34-32-116 or 34-32.5-116), attach a map to this report that accurately depicts, the: <br />permit boundary, vurr affectarca <br />ed boundary and location of the acrosages specified in itc:.nts 7- 12 ami 14. <br />I7 MAY <br />UPDATTATT,kCHED: <br />Division records indicate th� following permittee contract information, If this information is not current, please type or <br />print �trreg contact info 7 <br />tion: <br />Permittee Contract: I / Jai®^ <br />Pcrmittee Company: <br />Address: <br />1'hnne Number: <br />1~ ux Dumber: <br />Finail Address: <br />40 -TINCL <br />C ffee County <br />Pp, Box 649 <br />Salida, CO 81201 <br />(7 9) 539.6961 <br />(719) 539-7442 <br />C .PlZ.exnail <br />1, the undc migned, hereby s to that the infomtation provided in this report is trot: and accurate, and that site operations are <br />being conducted in aooerda c with the Diviaion approved mining and reclamation plans. <br />7 7./-' <br />Date <br />