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Page 4 of 5 <br /> Total acres L[.G j Total acres Total acres l Total acres <br /> backfilled: ��2 C� seeded w/ &/A w/topsoil /�J/� mulched w/ N/A <br /> Agp,r approved mix: replaced: approved mulch: <br /> Total acres k6 Total acres Topsoil Mulch application <br /> graded: 412 cad„ fertilized w/ NIA replacement /j� rate(tons): <br /> apvd fertilizer: depth(in.): �/A <br /> Seed Fertilizer Mulch <br /> application 'v/A application ��A application NIA <br /> method: method: method: <br /> 13. Is weed control being conducted in accordance with an approved Weed Control Plan? YES NO N/A <br /> If"YES", indicate the weed species, control area,control type, application rate and treatment date on the repo map. <br /> 14. Is adequate topsoil reserved for reclamation, based on your approved permit? YES NO f N/A <br /> If"NO", please explain: <br /> 15. Is the reserved topsoil vegetated/stabilized in accordance with Rule 3.1.9(l)? 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 and Office of the State <br /> Engineer(Well Permit, S.W.S.P., and/or Permanent Augmentation Plan)? YES NO <br /> 17. Are all hazardous materials stored within approved spill containment structures? YES NO N/A <br /> 18. Is your financial warranty value sufficient to cover the cost to complete reclamation? YES NO N/A <br /> 19. Is your basis for legal right to enter still valid? El NO <br /> 20. Does your permit require you to submit monitoring information annually? YES NO N/A <br /> If"Yes",please attach the required monitoring results to this Annual Report. <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 permit <br /> boundary, current affected area boundary and location of the acreages specified in items 7- 12 and 14. UPDATED <br /> MAP ATTACHED: <br /> RECEIVED <br /> SEr 15 2017 <br /> DmsloN of REq MATM <br /> MINING AND SAFETY <br />