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1 -1 Attach a neap to this repel t that accurately depicts the pe ru boundary, cm 1 rut atic'cted al c.i houndary and <br />location of the acreages specitled in items LI. and 1 1. Please check the appropriate response helo',\ <br />UPDATED MAP .\ l'TACHED: \ >: CONDITIONS UNCIIAGED - PRI -A /10115 HAP ACt.IIR, \'I'C <br />1 1. Is weed control being conducted in accordance with an approved Weed Control flan.' Yl';5 u NO N/A <br />If "YES ", indicate the weed species, control areal, coral - rol type, apphcatlon late anti treat on the <br />report map. <br />15. Is adequate topscnl reserved for reclamation, i),lse'd on your appl eyed permit <br />If "NO ", please explain: <br />l 6. Is the reserved topsoil vegetated /stabilized in accordance with Rule 3.1.9(11' <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 t1u , <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 NO 7 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? / YES ) NO <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 />Permittee Contact. <br />Permittee Company: <br />Add ress <br />Phone Number: <br />Fax Number: <br />Email Address. <br />Pt abiA M )4.6 0 <br />L — fir, <br />2--u &d (V( <br />7 ( -- /L(' <br />Jc L( -- 04( 74,_ <br />( (l 6 till) (s C6.C[0f ef. s ., 1u ( <br />I, tilt' Inldersie,,ilcd. 1101''h,; state that the lintel' llatlonl I ou'Idts1 epoi t Is true avid .lc c Hie an,1 <br />l)peratloIls are Hen conducted 111 accordance ■vltll the 1TIvltiloll apiIrllved !riming and 1 ecla111atu 111,111; <br />•ianat111.o or C ol:Toraie Officer, Owner, or Documented Desii ice <br />NU <br />l I S 1 NO <br />YES <br />