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Permittee Contact: <br />S 10 Ai <br />Permittee Company: <br />w s 7- r �/` <br />FA y � <br />Address: <br />w1 - G - 1n s , C o <br />Phone Number: <br />9 0, -4, c'sG i <br />Fax Number: <br />S A y.Yl E. <br />Email Address: <br />/ C & E$�'� 4 f d \� - I i I. , L 0 <br />13. Attach a map to this report that accurately depicts the permit boundary, current affected area boundary and <br />16cation 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? <br />If "YES ", indicate the weed species, control area, control type, application rate and treatm <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 />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 />at e of or or <br />Sign p ; a Of 1 r, Owner, or Documented Designee <br />i, <br />Date <br />YES <br />NO N/A <br />date on the <br />17. If mining has exposed groundwater, is the site in compliance with the approved mining plan and Office <br />-- State - Engineer- (Well- Permit,- S.W.S-P -, and /or Permanent Augm Y-ES -- --NO- <br />18. Are all hazardous materials stored within approved spill containment structures? YES NO <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? ES NO <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 />N/A <br />N/A <br />N/A <br />