2015-06-16_REPORT - M1985001

• Permit No: M1985001
• IBM Index Class Name: REPORT
• Doc Date: 6/16/2015
• Doc Name: Annual Fee, Report and Map
• From: Glacier Gravel Products
• To: DRMS
• Email Name: LJW
• Media Type: D
• Archive: No

Page 3 of 3
13. Is weed control being conducted in accordance with an approved Weed Control Plan?NO N/A
If "YES", indicate the weed species, control area, control type, application rate and treatmen on the report map.
14. Is adequate topsoil reserved for reclamation, based on your approved permit?YES NO N/A
If "NO", please explain:
15. Is the reserved topsoil vegetated/stabilized in accordance with Rule 3.1.9(1)? YES NO N/A
If "NO" please explain:
16. If mining has exposed groundwater, is the site in compliance with the approved mining plan and Office of the S
21. As required by Colorado Mined Land Reclamation Act and/or Colorado Land Reclamation Act for the Extraction of
Construction Materials (C.R.S. 34-32-116 or 34-32.5-116), attach a map to this report that accurately depicts the
permit boundary, current affected area boundary and location of the acreages specified in items 7- 12 and 14.
UPDATED MAP ATTACHED:
Engineer (Well Permit, S.W.S.P., and/or Permanent Augmentation Plan)? YES NO /A
17. Are all hazardous materials stored within approved spill containment structures? � NO N/A
18. Is your financial warranty value sufficient to cover the cost to complete reclamation? �� NO N/A
19. Is your basis for legal right to enter still valid? YES NO
20. Does your permit require you to submit monitoring information annually? YES NO N/A
If "Yes", please attach the required monitoring results to this Annual Report
Division records indicate the following permittee contact information. If this information is not current, please type or
print current contact information:
Permittee Contact: Jim Helmericks
Permittee Company: Glacier Gravel Products
Address: 995 Hwy 3
Duran
I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are
being conducted in accordan
go, CO 81301
Phone Number:
.
Division records indicate the following permittee contact information. If this information is not current, please type or
print current contact information:
Permittee Contact: Jim Helmericks
Permittee Company: Glacier Gravel Products
Address: 995 Hwy 3
Duran
I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are
being conducted in accordan
go, CO 81301
Phone Number:
[phone]
Fax Number:
[phone]
Email Address:
CF.PR.email
ce with the. Division approved mining and reclamation plans.
ee, Corporate Officer, Owner, or Documented Designee
M -AFRI
Date
Signature of Permitt