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Page 3 of 3 <br />13. Is weed control being conducted in accordance with an approved Weed Control Plan? NO N/A <br />If "YES", indicate the weed species, control arep, control t e, pplication rat and treatment date on the report ap. <br />r 3 �tJCs�c ;jZLa c v�% 'I oU)) .3\14-Q Li r J .. <br />14. Is adequate tosoil reserved for reclamation, based on approved permit? NO N/A <br />If "NO", please explain: <br />15. Is the reserved topsoil vegetated/stabilized in accordance with Rule 3.1.9(1)?YES 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 an�ffice of the State <br />Engineer (Well Permit, S.W.S.P., and/or Permanent Augmentation Plan)? <br />�S NO N/A <br />17. Are all hazardous materials stored within approved spill containment structures? <br />YES'' NO N/A <br />18. Is your financial warranty value sufficient to cover the cost to complete reclamation? <br />iYES� NO N/A <br />19. Is your basis for legal right to enter still valid? <br />YES NO <br />20. Does your permit require you to submit monitoring information annually? <br />YES) NO N/A <br />If "Yes", please attach the required monitoring results to this Annual Report. <br />Fax Number: <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: <br />Division records indicate the followin ermittee contact information. If this information is not current, please type or <br />print current contact information: <br />Permittee Contact: <br />Dennis L. Fields -Z> <br />LLQ <br />Permittee Company: <br />L. G. Everist, Incorporated <br />Address: <br />7321 E. 88th Ave., Ste 200 <br />Henderson, CO 80640 <br />Phone Number: <br />(303) 287-4656 <br />" G <br />Fax Number: <br />(303) 289-1348 <br />Email Address: <br />CF.PR.email <br />/r Z�{ 1 <br />\J <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 ftDi�ision approved mining and reclamation plans. <br />Signature <br />M -AF -01 <br />Owner. or Documented D <br />Dat <br />