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L/ 05/27/2015 WED 15:37 Fax <br />2015-05-22 06:09 3038328106 3038328106 >a <br />U004/004 <br />P 4/4 <br />i . , , . p - - 0 r <br />Page 3 ut' 3 <br />13. Is weed control being ¢onductetl in accordance with an approved Weed Control Plan? YES NO /A <br />If "YES", indicate the �veod Species, control =EL, control type, application rate and treatment date on tho report map, <br />14. Is adequate topsoil rcy ed for reclamation, based on your approved permit? NO N/A <br />Ir "NO", please explai . <br />15, is the reserved topsoil pogetatod/stabilized in accordance with Rule 3.1.9(1)? NO N/A <br />If "NO" Please explairtt <br />16. If mining has exposeti oundwater, is the site in complianco with the approved mining plan and Ofiic o of the St <br />P:ttgineer (Well Pemut S.W.S.P., And/or 1`01mnnent Augmentation Plan)? YRS NO <br />17. Are all hazardous rnate�ials stored within epprovod spill containment structures'? YES NO / <br />18. Is your financial watt'aaty value sufficient to cover tho cost to complete reclamation?di) NO N/A <br />19, Is your basis for legal right to enter still valid?6�E) NO <br />20. Does your ptznit requi a you to submit txwnitoring ittfonnation annually? YRS 4a NIA <br />If "Yea", please attach required monitoring results to this Annual Report, <br />21, As required by Colors Mined Land Reclamation Act and/or Colorado Land Reclamation Act for the 33xtrac+tion cf <br />C'onstruc,-tion Materials C.R.S. 34-32-116 or 34.32,5-116), attach a map to this report that accurately depicts the <br />permit hotnidary, current affected area boundary and location of the acreagt;s specified in itmns 7- 12 and 14. <br />UPDATED MAP ATT CIIED: <br />I <br />Division reeorda indicate 4 following permittee contact information. Ifthis infonnation is not cuse current, pleatype or <br />print cgrrgpt contact information: <br />Permittee Contact: <br />Pertnittuc Company: <br />Address: <br />Phone Number: <br />Pax Number: <br />Email A.ddra s: <br />MI <br />6rk Stacy <br />c1Satf'ee County <br />P.O. Box 699 <br />SaRida, CO 81201 <br />(7 9) 539-6961 <br />(7 9)530.9208 <br />C:I{.PR-ernail <br />1, the undersigned, hereby <br />being conducwd in accord <br />M -AF W <br />that the: information MvidW in this mport is true and acourato, and that site operations arc <br />with the Division approved mining and ruclaination plans, <br />Owner, or Documeptod Dedgnee Date <br />