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. L _ _ _Page 4of5 <br /> T otal acres Total acres ; Total acres -- Total acres r <br /> bat_hf iii2r : 1 see-Gea tip;! tv/IO psoi3 nitii!_ s <br /> I 1- �iet� a/ 1 <br /> ( I approved mix: I j replaced: approved mulch: <br /> Total acres Total acres Topsoil Mulch application <br /> graded: fertilized w/ replacem4..t rate(tons): <br /> ! � �p,•r�fnt-}iiizar• i ` ri��ttTh f;,� �. <br /> application ( application ( application <br /> a )Ztittnta. ,tic.ctivd: <br /> la. Is weed control being conducted in accordance with an approved Weed Control Plan? YES N/A <br /> If"YES", indicate the weed species, control area, control type.application rate and treatment date on the report map. <br /> 14. is adequate topsoil reserved for reclaimation, based on your approved permit? Yp.S <D N/A <br /> If"NO".please explain: <br /> Afo 4-111250 0 VIL. 1&61e <br /> 15, is the re,Pnv d topsoil vegetated/stabilized in accordance with Mule?.1.9(1)'? YES NO <br /> 16. If mining has exposed groundwater, is the site in compliance with the approved mining plan and Office of the State <br /> l51, li r["� 1; A___ T'a1_._\n 'CI T'CT T� <br /> Engineer r weii Permit, S.v�.a.P.,aliuroi Pett]iaiiCllt�itTllei]tatioii rtatt�: a co iV�.i yr <br /> Are all hazardcws sMaW ials sturf'u "d spfl <br /> n r_ _ ,C e.______�__ Pi d mil__ _ __1 _ 4t�Q T 7.ilA <br /> „ - ,-tJin_ I;i CitiClr3i a,c°t3,-:I'!ii 1�,11tt;' �t�tl it.4C:1.t� co-... 'e:.:�o3;t t. ve,iia, s mt �� .,, <br /> 19. Is your basis for legal right to enter still Valid? NO <br /> 20. Does your permit require you to submit monitoring information annually? YES <10 N/A <br /> I4":a z; r,!Wq-P artoc-h the rE?opired rn on,itnwi r r,ti:,t;l;;To T1ai�, At-3 n,ua Unon. <br /> 21. As required by Colorado Mined Land Reclamation Act and/or Colorado Land Reclamation Act for the Extraction of <br /> .. f '.i"r.'•.iui'' 1�. a�' I t� ni• 3_ `} i i A 1 �f`-1::� � -nn t'N tl, <br /> �i,is`aia ii�,ii�,ii. caa�a \ ✓ ,-_.-. _ .< . ....- . , , f boundary, current affected area boundary and location of the acreages specified in items 7- 12 and 14. UPDATED <br /> MAP ATTACHED: _ /�1lu�L e� /1-�l� - r c>>�1 v �t��✓may ,i -� ZOl7- <br /> r <br /> �,� f z )/r <br />