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Permittee Contact: <br />4,6,4-N z <br />Company: <br />b ,_„/ _ <br />cri Permittee <br />/ <br />Address: <br />sz/J a4.1" <br />d et / /r7 (D. 1 0 <br />Phone Number: <br />7X— .5--3,392, <br />Fax Number: <br />9 4 — OP) <br />Email Address: <br />/0/V -) t <br />om Cell <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? YES NO <br />If "YES ", indicate the weed species, control area, control type, application rate and treatment date on <br />report map. <br />15. Is adequate topsoil reserved for reclamation, based on your approved permit? <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 plan and Offi <br />State Engineer (Well Permit, S.W.S.P., and /or Permanent Augmentation Plan)? YES NO <br />18. Are all hazardous materials stored within approved spill containment structures? YES NO <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 />I, the undersigned, here <br />operations are bei <br />state that the i <br />7 <br />Signatt orate Officer, 1 ner, or Documented Designee <br />NO N/A <br />NO N/A <br />/ 6 1 E — S - D NO <br />YES NO N/A <br />rmation provided in this report is true and accurate, and that site <br />onducted in accn -. �. ce with the Division approved mining and reclamation plans. <br />N/A <br />