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Permittee Contact: <br />(n1 <br />`/, LW ■ Y. 9r,c. 1 <br />Permittee Company: <br />o f_ . ,,) v.N,,,_Ax u, <br />'C_,,. Je-1 --.. -k <br />t ,_ (\_,A., <br />.�- .Vc= ." -. - -S <br />Address: <br />611 Imo - 154-- Nic <br />_ ;t eeL C3 .. -- <br />G 1 1 0 _ 1 S` 1 it-9 <br />at e e 1 l C) - -7(3 4 - <br />Phone Number: <br />e? 0, 5 0 ,'.)--. 0So- <br />Fax Number: <br />Email Address: <br />t L6SCk e C-IMA1L. Co vv.. <br />13. Attach a map to this report that accu,�`ately depicts the permit boundary, current affected area boundary and <br />location of the acreages specified i items 7- 12 and 14. Please check the appropriate response below: <br />UPDATED MAP ATTACHED: V CONDITIONS UNCHAGED - PREVIOUS MAP ACCURATE: <br />14. Is weed control being conducted in accordance with an approved Weed Control Plan? YES (-6 N/A <br />If "YES ", indicate the weed species, control area, control type, application rate and treatment dat n 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 />17. If mining has exposed groundwater, is the site in compliance with the approved mining plan and Office of the <br />State S:W:S :P.; and /or Permanent Augmentation Plan) ? - — ES — NO -- - 1 <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? <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? YES l0 N/A <br />If "Yes ", please attach the required monitoring results to this annual report. <br />Please provide current contact information: <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 />Date <br />NO N/A <br />NO N/A <br />NO N/A <br />NO N/A <br />YE) NO <br />