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Permittee Contact: <br />Day -Rav-i man <br />Permittee Company: <br />CII-v ( v <br />Address: <br />V) - 5 <br />(2oide ►il Co CO! b4 <br />Phone Number: <br />2 )0 9 7' - 5` - t - ' 5000 <br />Fax Number: <br />77017 -72e-f- g1(» <br />Email Address: <br />ha. 11 a 10611 otdevl .Vle f <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: V <br />Signature of Corporate Officer, Owner, or Documented Designee <br />- x - 1 2 <br />Date <br />14. Is weed control being conducted in accordance with an approved Weed Control Plan? NO <br />If "YES ", indicate the weed species, control area, control type, application rate and treat date on t <br />report map. 'r <br />WtCd Co -val irl{� b i 5 epev& i 2] c14 vYlekl <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)? l -/ 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 o <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 />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 />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 />