Laserfiche WebLink
Permittee Contact: <br />/;c/cJ' ,e a ,c L <br />Permittee Company: <br />- 1,',. .-.-, e.->-,J>ry T. <br />,, <br />Address: <br />SSG 5 i r�> i {i °s <br />4 r, ,,,fi d / C..e , 0,1 -, <br />.4 <br />C c.2 <br />,e, e- <br />}j, ,S C, i <br />Phone Number: <br />7 /d Li - 5 37 J <br />Fax Number: <br />970- .2 ( -i_S -- - 77, C <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: <br />14. Is weed control being conducted in accordance with an approved Weed Control Plan? YES NO <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 />fctSD NO N/A <br />If "NO" please explain: <br />4-7. If mining has exposed-groundwater,-is-the site ° in compliance with the approved plan and Office of the <br />State Engineer (Well Permit, S.W.S.P., and /or Permanent Augmentation Plan)? NO N/A <br />18. Are all hazardous materials stored within approved spill containment structures? YES NO N/A <br />19. Is your financial warranty value sufficient to cover the cost to complete reclamation? (YES, 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 />CONDITIONS UNCHAGED - PREVIOUS MAP ACCURATE: <br />cES ) NO N/A <br />CYES7 NO <br />YES 0.> 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 being conducted in accordance with the Division approved mining and reclamation plans. <br />Signature of (rporate Officer, <br />wner, or Documented Designee <br />//- / L / -�� <br />Date <br />