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Permittee Contact: <br />73 S,,,,+ . -lend <br />Permittee Company: <br />S'r-, `lte.rba a a/ .P r ., /f <br />Address: <br />p, 0, •o ? $ <br />,,,t4 o . gl 4:2-4— <br />N 0" <br />Phone Number: <br />Fax Number: <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: <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 treatm date on the <br />report map. k weed At a:s bee' c, ., <br />15. Is adequate topsoil reserved for reclamation, based on your approved permit? YES NO N/A <br />If "NO ", please explain: Mine was sir +ed p',cr -to /977 bit 54 i'c'c_ky 4i, /i 5WWe 1-A„,,,, core /10 <br />1 -ep5ot l k925 5'Jck pled. AJe4 . r • i'y :o S�+e n10. e► is / 'S vct.I tbie Pcr- pars/hie .a+ re use <br />16. Is the reserved topsoil vegetated /stabilized in accordance with Rule 3.1.9(1)? YES NO <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 <br />State Engineer (Well Permit, S.W.S.P., and /or Permanent Augmentation Plan)? <br />YES NO <br />,ne rs 4 <br />18. Are all hazardous materials stored within approved spill containment structures? YES NO <br />/V0A e p re s e4 - I --1 y o s rFe <br />19. Is your financial warranty value sufficient to cover the cost to complete reclamation? 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 NO <br />If "Yes ", please attach the required monitoring results to this annual report. <br />Please provide current contact information: <br />( ct-4- <br />.lam io -z - <br />Signature of Corporate Officer, w Designee to <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 />