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Permittee Contact: <br />` <br />- <br />7 <br />l t i , 1 , -_`( <br />r - c -, i ��, I( c <br />Permittee Company: <br />y <br />Address: <br />L • r'l u <br />I i Y l C )' i <br />/ t <br />ti <br />`. <br />l <br />) ,I <br />C /- <br />,/ <br />Phone Number: <br />/1 i Y <br />�- <br />/ . <br />Fax Number: <br />717 },-(, <br />�. <br />`,(1- ` <br />-- <br />Email Address: <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/A <br />If "YES ", indicate the weed species, control area, control type, application rate and treatment date 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 - N/A <br />18. Are all hazardous materials stored within approved spill containment structures ?) YE$- NO N/A <br />I '(,. 6 ki S i (C - <br />19. Is your financial warranty value sufficient to cover the cost to complete reclamation ?( YES NO N/A <br />20. Is your basis for legal right to enter is still valid? <br />21. Does your permit require you to submit monitoring information annually? <br />If "Yes ", please attach the required monitoring results to this annual report. <br />Please provide current contact information: <br />I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site <br />operations are being conducte• in accordance with the Division approved mining and reclamation plans. <br />ure of Corporate Officer, Owner, or Documented Designee <br />Date <br />YES NO N/A <br />$ NO <br />YES i NO N/A <br />