2012-04-20_REPORT - M1977425

• Permit No: M1977425
• IBM Index Class Name: REPORT
• Doc Date: 4/20/2012
• Doc Name: ANNUAL FEE/REPORT
• From: LARIMER COUNTY
• To: DRMS
• Email Name: ECS
• Media Type: D
• Archive: No

Permittee Contact:
NHS C.. moK9,600
Fertilizer
application
method:
Permittee Company:
LARtivIatoNr/ pia YtNtOet
Del-.
Address:
9 0 . 160,c 1180
FOP,T Ca1.4.04S , C.0 8059.9 -114O
Phone Number:
(crro) 5C 5 0�
yAg-
Fax Number:
(q /o) Irra - 5(07 g
Email Address:
mocrt56C®to • leime -c to -0
Seed
application
method:
NI
Fertilizer
application
method:
N
I A
Mulch
application
method:
IJ 111
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- 2 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? YES NO N/A
If "YES ", indicate the weed species, control area, control type, application rate and treatment date on e 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:
17. If mining has exposed groundwater, is the site in compliance with the approved mining plan a
Engineer (Well Permit, S.W.S.P., and/or Permanent Augmentation Plan)?
18. Are all hazardous materials stored within approved spill containment structures?
19. Is your financial warranty value sufficient to cover the cost to complete reclamation?
20. Is your basis for legal right to enter still valid?
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:
Signature of Corporate Officer, Owner, or Documented Designee
Date
YES NO
YES
NO N/A
NO N/A
Office of the State
NO N/A
NO N/A
NO
N/A
I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations
eing conducted in accordance with the Division approved mining and reclamation .lans.