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Permittee Contact: <br />iQ 5 4flitr icti14 <br />p v sa s? <br />Permittee Company: <br />6' L kricaNd IJ <br />Address: <br />1 00 8 887 <br />4.9 806, 4f6,,y,w`ty l7 <br />Phone Number: <br />iq 7) 8e,Q y _ 74 C0 ) <br />Fax Number: <br />j 264( _ 790 <br />Email Address: <br />13. Attach a map to this report that accurately depicts the permit boundary, current affected area boundary and <br />location of the acreages specified in items 7 -12 and 14. Please check the appropriate response below: <br />UPDATED MAP ATTACHED: CONDITIONS UNCHAGED - PREVIOUS MAP ACCURATE: r <br />14. Is weed control being conducted in accordance with an approved Weed Control Plan? YF NO N/A <br />If "YES ", indicate the weed species, control area, control type, application rate and treatment date on the <br />report map. <br />15. Is adequate topsoil reserved for reclamation, based on your approved permit? C& NO N/A <br />If "NO ", please explain: <br />16. Is the reserved topsoil vegetated /stabilized in accordance with Rule 3.1.9(1)? <br />If "NO" please explain: <br />17. If mining has exposed groundwater, is the site in compliance with the approved mining_ plan and Office of the_ <br />State Engineer (Well Permit, S.W:S.P., and/or-Permanent Plan)? _ YES X07 _ N/A <br />18. Are all hazardous materials stored within approved spill containment structures? Yi NO N/A <br />19. Is your financial warranty value sufficient to cover the cost to complete reclamation? ES NO N/A <br />20. Is your basis for legal right to enter is still valid? . NO <br />21. Does your permit require you to submit monitoring information annually? YES S N/A <br />If "Yes ", please attach the required monitoring results to this annual report. <br />Please provide current contact information: <br />I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site <br />operations are being conducted in accordance with the Division approved mining and reclamation plans. <br />1,0-e <br />Signature of Corporate Officer, Owner, or Documented Designee <br />Date <br />NO N/A <br />