Laserfiche WebLink
Permittee Contact: <br />P/2 <br />V/ /,f' <br />Permittee Company: <br />/5 <br />/F/ <br />5 I9 7 1 / 1- - 7 <br />7 /3,7/26 l :-:— <br />Address: <br />6‘" ‘ 3 <br />c`, /y,, />e 5; i'l <br />Phone Number: <br />7/ <br />7--• <br />7 ,.— (- 6 <br />Fax Number: <br />7 j T— ,6-- G- o 3 <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 on t <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 />If "Yes ", please attach the required monitoring results to this annual report. <br />Please provide current contact information: <br />re of orpora Officer, or Documented <br />Designee Owner, nee Date <br />6 Ey 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 o f fe- <br />State Engineer (Well Permit, S.W.S.P., and /or Permanent Augmentation Plan)? YES NO CN,� - <br />18. Are all hazardous materials stored within approved spill containment structures? YES NO N/A <br />19. Is your financial warranty value sufficient to cover the cost to complete reclamation? ES NO N/A <br />20. Is your basis for legal right to enter is still valid? S, NO <br />21. Does your permit require you to submit monitoring information annually? 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 />operations are being conducted in accordance with the Division approved mining and reclamation plans. <br />7 -- 7--- /. <br />