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Page 3 of 3 <br />13. Is weed control being conducted in accordance with an approved Weed Control Plan? YES 4:0D <br />N/A <br />If "YES", indicate the weed species, control area, control type, application rate and treatment date on 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)? cii)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 St <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? <br />19. Is your basis for legal right to enter still valid? <br />20. Does your permit require you to submit monitoring information annually? <br />If "Yes", please attach the requirbd monitoring results to this Annual Report. <br />YES NO N/A <br />YES NO <br />YES NO N/A <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: Z— <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 />Shad Peabedy <br />J 64 Q I rf�J7– qC L LA -u D <br />Permittee Company: <br />Skanska USA Civil West Rocky <br />Mountain District Inc. <br />Address: <br />22419 CR G <br />P.O. Box 1660 <br />Cortez, CO 81321 <br />Phone Number: <br />970 5 Z'3. 2128 <br />Fax Number: <br />:7 70 . -.5- <br />Email <br />Email Address: <br />email-- <br />J 6FEf 2SKltlp�JS Ks9, Lo►� <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 <br />Owner, or Documented Designee Date <br />M -AF -0 t <br />SEE Coves (-zc�z CVir�c�t-noN . <br />