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Permittee Contact: <br />-p <br />Permittee Company: <br />Geir- £ 6 <br />Address: <br />t o bo G l P - r r <br />Ini/).N4 0 51K., Zoo <br />INC5cM4N50- Go Sao21 <br />Phone Number: <br />C3''3 6S - 3 - ' — 4" 1 <br />Fax Number: <br />Email Address: <br />F-r. ma y@ <br />_ N1- ACof4" <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? YE NO N/A <br />If "YES ", indicate the weed species, control area, control type, application rate and treatment date on the <br />report map. f (t- GVN -( ► 0 ' to l..=Sr (Y`A`I (. 9 —r <br />RS o FC, ; Zara /AC rr S7 <br />15. Is adequate topsoil reserved for reclamation, based on your approved permit? /YES j 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 />18. Are all hazardous materials stored within approved spill containment structures? <br />NONE ON S 1T . <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 />1 2 /z- t A ( <br />Signature of orporate Officer, 1 w i r, or Documented Designee Date <br />17. If mining has exposed groundwater, is the site in compliance with the approved mining plan and Office o <br />State Engineer (Well Permit, S.W.S.P., and /or Permanent Augmentation Plan)? YES NO <br />YES <br />NO N/A <br />NO <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 />YES NO •/A <br />NO N/A <br />N/A <br />