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Page 4 of 5 <br /> Total acres Total acres Total acres Total acres <br /> backfilled: �/�� seeded w/ � w/topsoil yA mulched w/ <br /> approved mix: replaced: approved mulch: <br /> Total acres Total acres Topsoil Mulch application / <br /> graded: N//� fertilized w/ w/A replacement NIA rate(tons): <br /> apvd fertilizer. depth(in.): <br /> Seed Fertilizer Tmethod: <br /> ulch ` <br /> application /)N applications / plicationmethod: method: <br /> 13. Is weed control being conducted in accordance with an approved Weed Control Plan? YES (1V�) N/A <br /> If"YES", indicate the weed species, control area, control type, application rate and treatment date on t e report map. <br /> 14. Is adequate topsoil reserved for reclamation, based on your approved permit? NO N/A <br /> If"NO",please explain: (9 <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 and Office of the State <br /> Engineer(Well Permit, S.W.S.P., and/or Permanent Augmentation Plan)? YES NO /A <br /> 17. Are all hazardous materials stored within approved spill containment structures? YES NO /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? O NO <br /> 20. Does your permit require you to su t moniMesu <br /> nformation annuall ? YES NO N/A <br /> If"Yes",please attach the required monitorins to this Annua 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 34-32-116 or 34-32.5-116),attach a maa to the renort that accuratel depicts th permit <br /> boundarycurrent affecteda boundar anqloc�tion of the acreages�ecified in ite, ms 7� 12 and 14. UPD <br /> MAP ATTACHED: <br />