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Page 3 of 3 <br /> 13. Is weed control being conducted in accordance with an approved Weed Control Plan? YES NO (NT- <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 N/A <br /> If"NO",please explain: <br /> 15. Is the reserved topsoil vegetated/stabilized in accordance with Rule 3.1.9(1)? 6 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 St. <br /> Engineer(Well Permit, S.W.S.P.,and/or Permanent Augmentation Plan)? YES NO 1114 <br /> 17. Are all hazardous materials stored within approved spill containment structures? YES NO N/ <br /> 18. Is your financial warranty value sufficient to cover the cost to complete reclamation? Y NO N/A <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 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 <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 following permittee contact information. If this information is not current,please type or <br /> print current contact information: <br /> Permittee Contact: Wilbur F.Benham <br /> Permittee Company: Wilbur F Benham <br /> Address: 1 nn?-Kgonedy-Br t1*- <br /> 6 S Ct yin <br /> Norton,KS 67654 <br /> PoJJ <br /> Phone Number: (785) 874-8080 <br /> Fax Number: <br /> Email Address: CF.PR.email Aio /'16, <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 the Division approved mining and reclamation plans. <br /> ignature of Permittee,Corporate Officer,Owner,or Docum• ted Designee Date <br />