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Permittee Contact: <br />ocialiy.6 tk . ' IC Ds <br />Permittee Company: <br />gA LL-C...- <br />Address: <br />pt. oer, [ f <br />Phone Number: <br />q %' 2C q — d2� <br />Fax Number: <br />g'476 ., b e- ( - 56`/ <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 ? LYE NO N/A <br />If "YES ", indicate the weed species, control area, control type, application rate and treatment date on the <br />report ma kJE k /1 ) <br />15. Is adequate topsoil reserved for reclamation, based on your approved permit? COES/ NO N/A <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 and Office of he <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? YES NO <br />19. Is your financial warranty value sufficient to cover the cost to complete reclamation? Y_E NO N/A <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 />I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site <br />op: : tions are being onducted in accordance with the Division approved mining and reclamation plans. <br />9 <br />ature of Corporate Officer, Owner, or Documented Designee Date <br />1 <br />I3( /z- <br />S NO <br />NO N/A <br />YES C1<IO ' N/A <br />