2012-03-21_REPORT - M1978225L

• Permit No: M1978225L
• IBM Index Class Name: REPORT
• Doc Date: 3/21/2012
• Doc Name: ANNUAL FEE/REPORT
• From: BACA COUNTY
• To: DRMS
• Email Name: SJR
• Email Name: SJM
• Media Type: D
• Archive: No

Seed
Fertilizer
Permittee Company:
Mulch
application
%� 1G�►.� [d � .�I01
application
Phone Number:
application
method:
method:
Email Address:
method:
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 UNCHANGED - PREVIOUS MAP ACCURATE:
14. Is weed control being conducted in accordance with an approved Weed Control Plan? S NO N/A
If "YES ", indicate the weed species, control area, control type, application rate and treatme on the report map.
15. Is adequate topsoil reserved for reclamation, based on your approved permit?
If "NO ", please explain:
16. Is the reserved topsoil vegetated/stabilized in accordance with Rule 3.1.9(1)?
If "NO" please explain:
SS NO N/A
YES NO N/A
17. If mining has exposed groundwater, is the site in compliance with the approved mining plan and Office of the
Engineer (Well Permit, S.W.S.P., and/or Permanent Augmentation Plan)? YES NO N/A
18. Are all hazardous materials stored within approved spill containment structures? YES NO N/A
19. Is your financial warranty value sufficient to cover the cost to complete reclamation? YES NO N/A
20. Is your basis for legal right to enter still valid? eYES NO
21. Does your permit require you to submit monitoring information annually? NO N /A
If "Yes ", please attach the required monitoring results to this annual report.
Division records indicate the following permittee contact information. If this information is not current, please type or
print current contact information:
Permittee Contact:
Permittee Company:
(1C�
Address:
%� 1G�►.� [d � .�I01
Phone Number:
. , a
Fax Number:
Email Address:
J
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.
7
J-
iiat4of Corporate Officer, Ow r, or Documented Desisnee Date