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p", 3 ,4 3
<br />13 11 it ct•d control holip conducted in aconduicc n Oh art approved %Vccd ('o and Ilan" qcavveork
<br />tit ) N A
<br />It Al S7 nldreatl' fire need species, conttol arca. colluot t�pc. application rate anti trratnlent the rg-uirt n2 , }'
<br />1 ( I- adctltlatc topsoil rt:serted for reclamation, based on dour appro%ed hermit" l`1 S No '� \
<br />11 , \( ) plea,c explain-
<br />f 1, flit lem tell In accordance u Rule 3 1.1)(1):' YI S No \ \
<br />It \( I" Itica,e c\plata,
<br />I t, It' uranin!, has e•\pc„ecl groundn•atcr. i, the site in c(rinpliancc nth the appnwed nunnW plan ar )dice of the State
<br />I rismxr (1,\`c11 I'erntit, S \\'.S P. and or lkmwnou :\ugimnlation flan)' 1'1 `� No \ A
<br />I i,,: all ha/ardour nt:lteri:+Is stored a shin apprtrted ~pili containmer►t sintctures:' YLS NO I,
<br />I k tutu financial n arrant slue sui7ic icnt to cover the cost It, complete reclamation? )TS No N'a
<br />I- Ni'ut ha"iN fol legal ni-Olt tocrltcr still tand•' \ 1•S '\()
<br />11 I hw% pnw pct nut retluire yon to submit nhumo iq-, inti,rinauon annually? YI.5 NON -A
<br />1€ •'1 es please attach the rctluircd nlonitorin�, results to till-, Annual Report.
<br />21 N, rctluircd 1,) &Awado hinied Land Reclamatrtm Act and or Colorado Land Reclamation Act I'm lire 1•.\traction of
<br />t'on,tru0ion Materials (C'.R.S. 34-12-1 lb or 303251 15), attach a reap to this report that act:uralcl> depicts the
<br />hernut h(undaly, current affected arca poundal\ and location ofthe acreages specilicd in heats %- 12 and 14
<br />l 1'1);\ I l 1) %1,%1' \I"I,\('l11 1). _Yes_.._.
<br />1 )11 iti;.,;l t'eC,,rdS Indica€e the follon AW perndwe contact intinnimtu"i Ifthis inti,rrnation is not current. please type or
<br />l,rillt Curf eat contact Inlornlatrtlrl'
<br />I'Crl}ll11cc Contact
<br />frit Rccker+lttic
<br />I'erlrlrltcc 0,l►rp."11"
<br />t lt} of t irecic�
<br />\tldre�s.
<br />1 100 1t)tli Street, Suite 3110
<br />t
<br />Greeley t U ;i(th i l
<br />Phone \taut+c�;
<br />(41'i)) ?;r)-tlti1,
<br />I road ,\ddre,s:
<br />CIAIR eniad
<br />1. t},c untlersiviicd, herr h) state that the inhwns+tion pnn til tl in this report is true and accutatr, an(] that site ol,cratiolls arc
<br />hrurL coi,ducted it +t +th the I) kion approtetl mining and rtclaivatiun plan:;
<br />_1
<br />Sis„natour of Permittee, Uornorrtte Officer, Onner, or Documented Uesij!nee I Luc
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