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Permittee Contact: <br />6AR/111 <br />ti` NULi j <br />Permittee Company: <br />e( C -. ` C.ei Y <br />Address: <br />1, 4i : l OC�ttics <br />earl bot -rte : <br />�Crt. ) 'co <br />aismc) 0 T5 (.4z <br />Phone Number: <br />6 110 G U )S S 43 63 <br />Fax Number: <br />,ttri L <br />Email Address: <br />W eN try Q Qwimverc'•ir (e ' . Cs wt. <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 />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 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)? <br />If "NO" please explain: <br />17. If mining has exposed groundwater, is the site in compliance with the approved mining plan ancQfice <br />State Engineer (Well Permit, S.W.S.P., and /or Permanent Augmentation Plan)? YES \NO <br />18. Are all hazardous materials stored within approved spill containment structures? @ES NO N/A <br />19. Is your financial warranty value sufficient to cover the cost to complete reclamation? (YES) NO N/A <br />f <br />20. Is your basis for legal right to enter is still valid? 7 , 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 />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 />11 ` Ki jLA S ' mSignature of Corporate O fficer Owner or D <br />, ented Designee <br />C Y — NO N/A <br />YES NO N/A <br />YES NO (N /A <br />