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Permittee Contact: <br />,/� J <br />Y ! \G H g" £ 1... 2- 04.leadrA) <br />Permittee Company: <br />Louvcot e)g.05 CTO#Je Cu. <br />Address: <br />1 Z cl os AL rat i. 5 t Aiii <br />Lo vJ6 141.o,J T , Cc *0 <br />Phone Number: <br />Fax Number: <br />30S - oe43 <br />Email Address: <br />► j?0L-L-'65 ,t4-2.7Ntttilk k1r <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? YE 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)? 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)? NO N/A <br />18. Are all hazardous materials stored within approved spill containment structures? YES dJ N/A <br />19. Is your financial warranty value sufficient to cover the cost to complete reclamation? C) NO N/A <br />20. Is your basis for legal right to enter is still valid? '' NO <br />21. Does your permit require you to submit monitoring information annually? YES NO N/A <br />If "Yes ", please attach the required monitoring results to this annual report. <br />Please provide current contact information: <br />Signature of Corporate Office' Owner, or Documented Designee <br />2 - / — /Z <br />Date <br />ES 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 />