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Permittee Contact: <br />rY1:ckqe(DCp( <br />Permittee Company: <br />A , Prod <br />Address: <br />( ' l b G-(r 9- r d <br />P. o. p 'F 1-6s-, <br />{.4, Qr6(a-q <br />A>,...„.A>,...„.. u..,.4.4, C <br />Phone Number: <br />)"/ 1 R'3Qs- '?cty <br />Fax Number: <br />Email Address: <br />►v‘col s ✓UGC N@ Ae«pOttw S .cony. <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 N JA) <br />If "YES ", indicate the weed species, control area, control type, application rate and treatment date on the <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)? YES 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)? YES NO C. A <br />18. Are all hazardous materials stored within approved spill containment structures? ES NO N/A <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? YE NO <br />21. Does your permit require you to submit monitoring information annually? YES 0 N/A <br />If "Yes ", please attach the required monitoring results to this annual report. <br />Please provide current contact information: <br />kttlati ( etfbitt,a- <br />6/ 2i0 ( <br />Signature of Corporate Officer, Owner, or Documented Designee Date <br />Pt t alr <br /><YS� NO N/A <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 />