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Permittee Contact: <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: II I CONDITIONS UNCIIAGED - PREVIOUS MAP ACCURATE: 1 1 I <br />14. Is weed control being conducted in accordance with an approved Weed Control Plan? YES Mk NA <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? YES *6©c D <br />If "NO ", please explain. <br />16. Is the reserved topsoil vegetated /stabilized in accordance with Rule 3.1.9(1)? YESC kbt <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)? Mi AO N/A <br />18. Are all hazardous materials stored within approved spill containment structures? YES XX FX <br />19. Is your financial warranty value sufficient to cover the cost to complete reclamation? YES NA xx <br />20. Is your basis for legal right to enter is still valid? YES kid <br />21. Does your permit require you to submit monitoring information annually? kRN XI* N/A <br />If "Yes', please attach the required monitoring results to this annual report. <br />Please provide current contact information: <br />Permittee Company: <br />Address: <br />Phone Number: <br />Fax Number: <br />Email Address: <br />Tom Murray <br />The Lakewood Brick and <br />Tile Company <br />1325 Jay Street <br />Lakewood, CO 80213 <br />' ( 303) 238 -5313 <br />( 303) 237 -7737 <br />I tmurray @summitbrick.com i- <br />I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site <br />operations are ing con ted i. accordance with the Division approved mining and reclamation plans. <br />itS/AVVA=____ Z/e7//z <br />I <br />Signat e of Girpore Officer, wuer or Documented Designee Date <br />Note: <br />See attached page for details on <br />current mine status and uses. <br />