2012-02-24_REPORT - M1983011 (2)

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970- 241 -1516 GU IG - VG - ea ua.Gr uluma Pernlittce Contact: Permittee Company: Address: Phone Number: Pax Number: 419 JV. OJGO I VO » 13. Attach a map to this report that accurately depicts the permit boundary, current affected area boundary and location of the acreages specified in items 7.12 and 14. Please check the appropriate response below: UPDATED MAP ATTACHED: CONDITIONS UNCHAGEI) - PREVIOUS MAP ACCURATE: 14. Is weed control being conducted in accordance with an approved Weed Control Plan? Qj NO N/A If "YES", indicate the weed species, control area, control type, application rate and treatment date on the report map. 15. Is adequate topsoil reserved for reclamation, based on your approved permit? E$' NO N/A if "NO ", please explain: 16. Is the reserved topsoil vegetated /stabilized in accordance with Rule 3.1.9(1)? NO N/A If "NO" please explain: 17. If mining has exposed groundwater, is the site in compliance with the approved mining plan and Office of State Engineer (Weil Permit, S.W.S.P., and /or Permanent Augmentation Plan)? • YES NO 18. Are all hazardous materials stored within approved spill containment structures? (..rgi NO N/A 19. Is your financial warranty value sufficient to cover the cost to complete reclamation? CE NO N/A 20, Is your basis for legal right to enter is still valid? ( NO 21. Does your permit require you to submit monitoring information annually? YES N/A If "Yes ", please attach the required monitoring results to this annual report. Please provide Brent contact information: ill 1'7 kr-4 m ; y , OX /L . c5 1 k2 etL - ?03 - _Z 1- z, F� S'4 g Email Address: .. L , v> Act to Signature of Cornoratc Officer, Owner, or Documented Designee 02 -23 -2012 5/5 12:04:03 p.m. Yru 1710 r GAG I, the undersigned, hereby state that the information provided In this report is true and accurate, and that site operations are being conducted in accordance with the Division approved mining and reclamation plans. z ,l Date