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Permittee Contact: <br />Permittee Company: <br />Address: <br />i O,?, 6.a,s-E- -1 ckrwLe n et' <br />Phone Number: <br />19- 336- 260a <br />Fax Number: . <br />-- 17(1- 336- qya/ <br />Email Address: <br />.Poi , wta Son ®C.;` • r <br />• r-0 • <br />0 <br />5 <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: A <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 th <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 />NO N/A <br />NO N/A <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 /sr Perana-rlent=Augmentation-- Plan)"?= <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? l la _ 2 - (1 � Ce - l <br />p . �3 <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 />NO N/A <br />NO <br />YES e 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 Corporate Officer, Owner, or Documented Designee <br />N oo f Zot l <br />Date <br />