2012-04-03_REPORT - M1980041

• Permit No: M1980041
• IBM Index Class Name: Report
• Doc Date: 4/3/2012
• Doc Name: ANNUAL FEE/ REPORT
• From: JAMES TREAT
• To: DRMS
• Email Name: GRM
• Media Type: D
• Archive: No

Permittee Contact:
James L. Treat
Permittee Company:
Address:
225 "G" Street
Salida, CO 81201
Phone Number:
[phone]
Fax Number:
[phone]
Email Address:
Chaffee Title t!— amigo .net
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 X CONDITIONS UNCHANGED - PREVIOUS MAP ACCURATE:
14. Is weed control being conducted in accordance with an approved Weed Control Plan? YES NO
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? YES NO
If "NO ", please explain:
16. Is the reserved topsoil vegetated/stabilized in accordance with Rule 3.1.9(1)? YES NO
If "NO" please explain:
17. If mining has exposed groundwater, is the site in compliance with the approved mining plan and Office of the State
Engineer (Well Permit, S.W.S.P., and/or Permanent Augmentation Plan)? YES NO
18. Are all hazardous materials stored within approved spill containment structures? YES NO
19. Is your financial warranty value sufficient to cover the cost to complete reclamation? NO N/A
20. Is your basis for legal right to enter still valid? ,' NO
YES Coil N/A
21. Does your permit require you to submit monitoring information annually?
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:
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.
Signature C orporate Offi d
Owner, or Documented Designee Date
March 29, 2012