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13 Attach a map to 1 his report that accurately depicts the permit boundary, current affected. area boundary and <br />location of the acreages speciticd so items 7- 12 and 14. Phase check the appropriate response ftrtnw: <br />UPDATED MAP ATTACHED: XX <br />14 Is et ecd control being conducte.: to acct: dance: with .tit approved %%reed Croat ul lion'' ® NO NIA <br />11 "YES''. indicate tite Breed species, control area, control tyre application rate and treatment date on the <br />report trap. AS PER WEED CONTROL PLAN <br />15. Is adequate topsoil reserved for reclamation, based on your approved permit! <br />If "NO", please explain: <br />16. k the reserved topsoil vef;t't:iterl /.tahiltzt•d in accordance with Rule :t 1.:1(1 l' <br />It "NO" please explain <br />1.7. it muting has exposed ground +vatri, is tier sat• ut comp :tint r es the approved minor; plan and Office of :he <br />State Engineer (Well Permit, S +,1` .P., and; ear Pi :i loam 11 Augmentation PI of)? t ES NO <br />18. Are all hazardous materials .tt t VC tv;tt;u approved ti ;,tl1 cool tttr,tt nt su at lures' <br />19. Is v:,nt futanri d tear rant} value sulticient to cover the cos: to complete r vi larnatcon:? <br />20. k your basis for :ego I righr to enter is still valid' <br />21. Does your permit require you to submit rnonitoi trig :nfte annual:y? <br />If "Yes ", please attach the tutu red monitoring results to this annual report. <br />Please provide current contact Intorrnation. <br />Penn t rtee Contact: <br />Permaree Company: t <br />Mullett Excavating, LLC <br />Addressor: <br />Phone Number: <br />tax Number. <br />Email Address: <br />I, the undersi ed,'.ien - 1 , v state that the information provided in this report i'true and accurate, and that site <br />operations are being conducted in arc nrdanee• tvith the Dtvsti n .approved reining and rt•t Iamatton pianm <br />' agnzta:tr t <br />Myron Mullett <br />P.O. Box 322 <br />Westoliffe, CO 81262 <br />(719) 783 -2056 <br />(719) 783 -0156 <br />1 mullettex @yahoo.com <br />_sate Utliccr, (.)wncr.yr P)ocumcntcd I)csienev <br />CONDITIONS t1Nc1IAGIn • PREVIOUS 4t, \1' AC:c <br />l viti j <br />1'I .S � <br />01 / 30 -0 / ?� <br />Da <br />Nu N/A <br />NO Nj:\ <br />ES NO <br />NO \ /,\ <br />NO <br />\TS m N/ A <br />I N/A I <br />