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Permittee Contact: <br />o' i I- / <br />Permittee Company: <br />k i Piffe4TE <br />J Q <br />7/L4-.c 1 -D 3 <br />I IC_ <br />Address: <br />X 305 U,s /avvr .t4 626 <br />/t 7e�-7 = , &2 87 <br />&4 <br />90 <br />Phone Number: <br />27 - 1. 9 _ 0 72 <br />Fax Number: <br />- 7OO - ,5 /12GS <br />Email Address: <br />k ( o c l y /v; r n v c, g e y p y d r e 0 C2 � ©pf, <br />, vc r <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. _ /1/0 4 /e-1 -Ds ,'1/6/) vs • siy?"../ 7.-/Kr �r fL <br />15. Is adequate topsoil reserved for reclamation, based on your approved permit? ® NO N/A <br />If "NO ", please explain: <br />16. Is the reserved topsoil vegetated /stabilized in accordance with Rule 3.1.9(1)? ) 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)? YES NO OTT) <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? 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 />orate Officer, Owner, or Documented Designee D . to <br />