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Permittee Contact: <br />Jufle, V( kdas <br />Permittee Company: <br />a an L ,. <br />Address: <br />Fos at <br />1 � - j � , U 12-1 <br />Ftrt f Uo(((v>,s ico <br />Phone Number: <br />cho- L - <br />Fax Number: <br />61`7 p-- 1-07 — 31° 6 <br />Email Address: <br />' t i 2 , it ( ILIA to s a A , ,-) <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. 1 . 7 CONDITIONS UNCHAGED - PREVIOUS MAP ACCURATE: <br />14. Is weed control being conducted in accordance with an approved Weed Control Plan? 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)? <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)? YEJ) NO N/A <br />18. Are all hazardous materials stored within approved spill containment structures? <br />19. Is your financial warranty value sufficient to cover the cost to complete reclamation? <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? YES (14 N/A <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 />operations are being conducted in accordance with the Division approved mining and reclamation plans. <br />(�l�Lf�Li� -� �h ✓d �'�'UYit� <br />Sig ,;�' re of Corporate Officer, Owner, or Documented Designee <br />(9 /d//i <br />Date <br />NO N/A <br />ES NO N/A <br />NO N/A <br />NO N/A <br />NO <br />