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Permittee Contact: <br />��gt cL70, <br />Permittee Company: <br />LIE 1M 51 <br />Address: <br />, 6 (2c ti- <br />gaNt4 ■.v1 i Sim ?oU <br />iNi S- Sf fIL i ‘ S <br />d° t <br />Phone Number: <br />(3 - S) Co"; 4 - 4 .---- 1- <br />Fax Number: <br />Email Address: <br />( SECti".` f l3 L _r.J4 <br />Lo IV\ <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? NO N/A <br />If "YES ", indicate the weed species, control area, control type, application rate and treatment date on the <br />report map. Kg- 600M"/ IJc rail S b a£ t-3 S i . ZQ ?SIAM - FeAric 5 <br />010 s Stior, <br />15. Is adequate topsoil reserved for reclamation, based on your approved permit? ES 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 />17. If mining has exposed groundwater, is the site in compliance with the approved mining <br />State Engineer (Well Permit, S.W.S.P., and /or Permanent Augmentation Plan)? <br />18. Are all hazardous materials stored within approved spill containment structures? NO N/A <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? _ . NO <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, r, or Documented Designee <br />P4 Ai <br />Date <br />NO N/A <br />and Office of the <br />NO N/A <br />