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Permittee Contact: <br />- ri — FrAN y 11 Al01 :t INS <br />Permittee Company: <br />RS phci.W - Cans +2ucim5 <br />Address: <br />9 No to , u S I <br />1(0C) A larno5C-, <br />rNcpaxdo ?Ito <br />Phone Number: <br />`7 I 5 )39 - Uto - / I <br />Fax Number: <br />1 1 61- 5 --oa <br />Email Address: <br />. f' f a n u n c i na a o ccK e. n ro <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: <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 />If "NO" please explain: <br />— 17. If Mining enposed groundwater, site in compliance with die approved mining plan and t <br />State Engineer (Well Permit, S.W.S.P., and /or Permanent Augmentation Plan)? YES NO 61/-1 <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? <br />21. Does your permit require you to submit monitoring information annually? YES NO 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 <br />NO N/A <br />NO N/A <br />