2012-05-18_REPORT - M2002009

• Permit No: M2002009
• IBM Index Class Name: REPORT
• Doc Date: 5/18/2012
• Doc Name: ANNUAL FEE/REPORT
• From: MARTIN MARIETTA MATERIALS
• To: DRMS
• Email Name: TC1
• Media Type: D
• Archive: No

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: ?C
14. Is weed control being conducted in accordance with an approved Weed Control Plan? NO N/A
If "YES ", indicate the weed species, control area, control type, application rate and treatment •a e 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:
YES NO
YES NO /A
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?
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?
YES NO
NO N/A
NO
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:
YES '10) N/A
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.
Si t re of Corporate Officer, Owner or Documented Desiziee Date
Permittee Contact:
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Permittee Company:
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Address:
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Phone Number:
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Fax Number:
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Email Address:
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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: ?C
14. Is weed control being conducted in accordance with an approved Weed Control Plan? NO N/A
If "YES ", indicate the weed species, control area, control type, application rate and treatment •a e 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:
YES NO
YES NO /A
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?
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?
YES NO
NO N/A
NO
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:
YES '10) N/A
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.
Si t re of Corporate Officer, Owner or Documented Desiziee Date