2016-09-09_REPORT - M1996076

• Permit No: M1996076
• IBM Index Class Name: Report
• Doc Date: 9/9/2016
• Doc Name: Annual Fee/Report/Map
• From: Rudy Fontanari
• To: DRMS
• Annual Report Year: 2016
• Email Name: SJM
• Media Type: D
• Archive: No

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13. Is weed control being conducted in accordance with an approved Weed Control Plan? YES NO N/A
If"YES",indicate the weed species,control area,control type,application rate and treatment ate 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 State
Engineer(Well Permit,S.W.S.P.,and/or Permanent Augmentation Plan)? YES NO N/A
17. Are all hazardous materials stored within approved spill containment structures? (ft—S) NO N/A
18. Is your financial warranty value sufficient to cover the cost to complete reclamation? ES NO N/A
19. Is your basis for legal right to enter still valid? ES NO
20. Does your permit require you to submit monitoring information annually? YES 1 lX<
If"Yes",please attach the required monitoring results to this Annual Report.
21. As required by rule,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: Ve 6
Division records indicate the following permittee contact information. If this information is not current,please type or
print current contact information:
Permittee Contact: Rudolph Fontanari
Permittee Company: Rudy Fontanari
e 2,
Address: 3316 E 3/4 Rd At 1
Clifton,CO 81520
Phone Number: [phone]
Fax Number:
Email Address: CF.PR.email
i/'c 5 S('. lc✓l o v a IV'l
I,the undersigned,hereby state that the information provided in this report is true and accurate,and that site operations are
being conducted in accordance with the Division approved mining and reclamation plans.
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Signature of PeAuttee,Corpiirate Officer Owner,or Documented Designee bate