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Permittee Contact: <br />t7( O , <br />Permittee Company: <br />Lepf, v-&E kvc1 <br />Address: <br />t°1lo Gi-W 4+ 1 <br />:' .Z- ( <br />i t 1 (s\ zN/ / -1C 9- ( 66 <br />Phone Number: <br />(3 <br />Fax Number: <br />Email Address: <br />lZ F � _ TA-1e ( -,0F <br />yE . _ NF4. G S M <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. <br />CONDITIONS UNCHAGED - PREVIOUS MAP ACCURATE: <br />14. Is weed control being conducted in accordance with an approved Weed Control Plan? ® NO N/A <br />If "YES ", indicate the weed species, control area, control type, application rate and treatment date on the <br />report map• G- -)vr.., jva1.r..3u5 1n -C.-C. (.rs 5 tvvri, <br />ON -vo;k ovc.f� 5IS yv As .n£,Z•rs /tqc. - <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)? <br />If "NO" please explain: <br />YES ) NO N/A <br />17. If mining has exposed groundwater, is the site in compliance with the approved mining plan and Office of the <br />State Engineer (Well Permit, S.W.S.P., and /or Permanent Augmentation Plan)? (ES 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 />c\-- <br />Signature of Corporate Officer, O r Documented Designee <br />`7 1 <br />Date <br />NO N/A <br />NO N/A <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 />