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Permittee Contact: <br />£ J . ,,I <br />Permittee Company: <br />l_Lte e.E. V/ <br />Address: <br />, 0 11 4..1+ CZ, <br />WA-4 I . 5 IV- 20 J <br />Vi £ S MVn.i5T"--, ec. e�'( <br />-1 <br />Phone Number: <br />(;c (1 — A C1-61 <br />Fax Number: <br />Email Address: <br />j -4 :NU- LT . " zA---1 e (- , -A( - !"t- c <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? &JD NO N/A <br />If "YES ", indicate the weed species, control area, control type, application rate and treatment date on the <br />report map. r£(z— 1 2 Qi gc_- Az-4►Nc =£.. 57 <br />or-) -(20 vs-10 O ■C Si As ccnEU MA`I ifr <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)? NO N/A <br />If "NO" please explain: <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)? 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? YES) 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 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, Own r, or Documented Designee <br />1 -242 " k i I t <br />Date <br />�YES� NO N/A <br />NO <br />