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Permittee Contact: <br />M + Q Cath 2 2-1 <br />Permittee Company: <br />Ol de- ab fte SO &Wou1 <br />J <br />It c. d b?. rotor Ceyr1a 5 A/124'eV 1 aI <br />Address: <br />((99 Ce 621 <br />Po aox 1 <br />6214.1'cId c43 a (12Z <br />Phone Number: <br />4 )70 . 24-7- Zt1Z <br />Fax Number: <br />S7o • 254) - 3631 <br />Email Address: <br />MC-24 a 11 a-v1 6 4- cove a-r5 141 a-4-e-r/ Is . cowl <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 treatment date on the <br />report map. <br />15. Is adequate topsoil reserved for reclamation, based on your approved permit? <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 />1- ■ • • : • ■ • Lei, is iplianCe wit e approve • mining p an an. 1 ice o t e - <br />State Engineer (Well Permit, S.W.S.P., and /or Permanent Augmentation Plan)? ' o NO N/A <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? <br />If "Yes ", please attach the required monitoring results to this annual report. <br />Please provide current contact information: <br />18. Are all hazardous materials stored within approved spill containment structures? �ES NO N/A <br />19. Is your financial warranty value sufficient to cover the cost to complete reclamation? <br />NO N/A <br />NO N/A <br />NO N/A <br />NO <br />YES N/A <br />I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site <br />operations are bein: • ndu d i accordance with the Division approved mining and reclamation plans. <br />11/01/1 1 <br />Signature of Corpo ate Officer, Owner, or Documented Designee Date <br />