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Permittee Contact: <br />4,/72 <br />Permittee Company: <br />j <br />Address: <br />60Y" 7 7 <br />Pa ✓ <br />Si/fortes G0, ,r¢3 <br />/ <br />1 <br />Phone Number: <br />f 7O 387 - 6 At 3 <br />Fax Number: <br />Email Address: <br />/ W A( e <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 aRproprlate res se belpw: <br />No resin/7 7 j$o asfr Ma// 1,914 re trti Y"' <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 N/A <br />If "YES ", indicate the weed species, control area, control type, application rate and treatment da - on the <br />report map. <br />15. Is adequate topsoil reserved for reclamation, based on your approved permit? YES NO N/A <br />If "NO ", please explain: <br />16. Is the reserved topsoil vegetated /stabilized in accordance with Rule 3.1.9(1)? YES <br />If "NO" please explain: <br />17. If mining has exposed groundwater, is the site in compliance with the approved mining plan and Of ice of the <br />State Engineer (Well Permit, S.W.S.P., and /or Permanent Augmentation Plan)? YES NO N/A <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? <br />If "Yes ", please attach the required monitoring results to this annual report. <br />Please provide current contact information: <br />f <br />1 <br />Signatuf f orporate Officer, Owner, or I : umented Designee <br />ate <br />YES <br />YES <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 />N/A <br />N/A <br />NO N/A <br />NO <br />N/A <br />