Laserfiche WebLink
Permittee Contact: <br />filr <br />Fr J. qq 41-1^-L1 <br />Permittee Company: <br />i3,n. el. an Sam cir- <br />C- ca. v.e- I , C.o . <br />Address: <br />2 5 a o 8. B r4 n nq n <br />w <br />V'c r I Ca g 0 2_2_ j <br />Phone Number: <br />3 o3 ) <br />Fax Number: <br />3 D 3 - S3 LI - ! 2_3 1,, <br />Email Address: <br />f rvw v---v � <br />Lle Dvinak EBtavlocka,Lryfr nAK (• C- 0 <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: L" <br />14. Is weed control being conducted in accordance with an approved Weed Control Plan? TO NO N <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)? <br />If "NO" please explain: <br />Signature of Corjiorate Officer, Owner, or Documented Designee <br />YES:' NO N/A <br />NO N/A <br />17. If mining has exposed groundwater, is the site in compliance with the approved mining plan and Office or <br />State Engineer (Well Permit, S.W.S.P., and /or Permanent Augmentation Plan)? YES NO (N /A <br />18. Are all hazardous materials stored within approved spill containment structures? YES 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? <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 />YES NO <br />YES (IV() 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 minin: and reclamation plans. <br />