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May-03-12 11:4Tam From- <br />13. Is weed control being conducted in accordance with an approved Weed Centro! Plan? YES NO N/A <br />If "YES ", indicate the weed species, control area. control Type, application rate and treatment date on the report map. <br />14_ Is adequate topsoil reserved for reclamation, based on your approved permit? <br />If "NO", please explain: <br />15. Is the reserved topsoil vegetated/stabilized in accordance with Rule 3.1.9(1)? <br />If "NO" please explain; <br />16. If ruining has exposed groundwater, is the site in compliance with the approved mining plan and Office of the State <br />Engineer (Well Permit, S.W.S.P., and/or Permanent Augmentation Plan)? YES NO N/A <br />17. Are : hazardous materials stored within approved spill containment structures? YES NO N/A <br />18. Ls you financial warranty value sufficient to cover the cost to complete reclamation? YES NO N/A <br />19, is you bass for legal right to enter still valid? NO <br />20. Does <br />if <br />21. As <br />boo <br />Division <br />print c <br />Permutes onract: <br />Permittee ompany; <br />Address: <br />Phone Nu er: <br />our permit require you to submit monitoring information annually? <br />", please attach the required monitoring results to this Annual Report. <br />ords indicate the following permittee contact information. If this information is not current, please type or <br />nt contact information: <br />by rule, attach a map to this report that accurately depicts the permit boundary, current affected area <br />and location of the lozenges specified in items 7 -12 and 14. UPDATED MAP ATTACHED: <br />Ina Finch <br />Indian Springs Mining <br />P,O. Box 405 <br />Canon City, CO 81212 <br />(719) 275 -5003 <br />T -954 P.02/04 F -153 <br />Page 3 of 3 <br />YES NO N/A <br />YES NO N/A <br />YF.S NO N/A <br />Paz Nu g <br />Email Add ::. <br />r-Pu'iC ta_ ((e-t /eLUor, <br />T. the and igned, hereby state that the information provided in this report as true and act'urnte, d th at s N ations are <br />being cond 'led in accordance with the Division approved mining and reclamation plans. / _ 7 I 7 02 6 , 7 <br />-a ,, A - fir <br />Signat ittee, Corporate Ot1�t rr. O wner• o neum en tDesignec <br />CF.PR,emeil <br />re <br />4 a 4 e <br />