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Permittee Contact: <br />Ctl S Woodwl <br />Cno`ronmpr4aa coo rd";( <br />Permittee Company: <br />'0 ..s6i., ryt...m-s (USA.. Cc ° <br />Address: <br />/051) 7-4-4 5- try.c -f, S4 RsV <br />i if-el , Co lavadv <br />SO Vac <br />Phone Number: <br />"03. (D 2.8.44-98 <br />Fax Number: <br />363. 389 .//a <br />Email Address: <br />Cokacik wrd c c it.,-T M ri.-m 4._( <br />t.J <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: X <br />report map. <br />16. Is the reserved topsoil vegetated /stabilized in accordance with Rule 3.1.9(1)? <br />If "NO" please explain: <br />18. Are all hazardous materials stored within approved spill containment structures? <br />19. Is your financial warranty value sufficient to cover the cost to complete reclamation? <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 />1 02d /2 <br />ignafure of Corporate Officer, Owner, or Documented Designee Date <br />14. Is weed control being conducted in accordance with an approved Weed Control Plan? ` NO N/A <br />If "YES ", indicate the weed species, control area, control type, application rate and treatment date on the <br />ore <br />15. Is adequate topsoil reserved for reclamation, based on your approved permit? <br />If "NO ", please explain: <br />ES NO N/A <br />NO N/A <br />17. If mining has exposed groundwater, is the site in compliance with the approved mining p1. s and Office of the <br />State Engineer (Well Permit, S.W.S.P., and /or Permanent Augmentation Plan)? Oir NO N/A <br />NO <br />NO N/A <br />ES NO <br />YES NO N/A <br />I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site <br />operation are being conducted in accordance with the Division approved mining and reclamation plans. <br />