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Permittee Contact: <br />HOW 41"4 M cG„ Nyl ` <br />utl< q,ticl Ml-' � A,lc0to44.t/ <br />Permittee Company: <br />Y 1 .mA CO101/ 'y itepa <br />A id aR;cld'a <br />Address: <br />/2 to 56471' - 1:744A. `E 5T, <br />wR /y Coco <br />80758 <br />Phone Number: <br />ci 70` 32 r s-718 <br />Fax Number: <br />970 33 z -.3Yzi <br />Email Address: <br />hour/it/to/MS @ CENT <br />ICyt6! • /1/FT <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: X CONDITIONS UNCHAGED - PREVIOUS MAP ACCURATE: <br />14. Is weed control being conducted in accordance with an approved Weed Control Plan? NO N/A <br />If "YES ", indicate the weed species, control area, control type, application rate and treatment date on the <br />report map. n/p /VoX,nLI.$ 1vi4:/,5 w i 1 lvoTFd AT /AJT)iti5P <br />15. Is adequate topsoil reserved for reclamation, based on your approved permit? YES 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 _(We11_P_ermit,_S.W.S.E.,_ and /_or_ Permanent .Augmentation_P_lan) ?___ - - -_ YES- --NO �j <br />18. Are all hazardous materials stored within approved spill containment structures? <br />19. Is your financial warranty value sufficient to cover the cost to complete reclamation? YES NO <br />20. Is your basis for legal right to enter is still valid? <br />21. Does your permit require you to submit monitoring information annually? YES 1 0 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 />Signature of Corporate Officer, Owner, or Documented Designee <br />Date <br />NO N/A <br />NO <br />NO N/A <br />