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Permittee Contact: ` <br />` <br />Permittee Company: <br />b Q h <br />h0• <br />Address: <br />Soo l 1� . l a.�� ... � <br />�� � <br />�.u,� — — -- <br />Phone Number: <br />Fax Number: S <br />S Q O <br />Email Address: l <br />l 0 d Li Q \3,Q_� }Q-5( Q \-- e ' A , <br />, O o■ <br />• A <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: IJ� <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 treat <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 />totirz <br />Si rporate Officer, Owner, or Documented Designee <br />1,7-/ <br />Date <br />NO N/A <br />t date on the <br />17. If mining has exposed groundwater, is the site in compliance with the approved mining plan and Office of the <br />- State Engineer (WeTI Permit, S.W.S.P., and /or Permanent Augmentation Plan)? YES NO N/A <br />in //JfOCP.cS -- <br />18. Are all hazardous materials stored within approved spill containment structures? NO N/A <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? <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 />YES <br />NO <br />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 />