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2012 -05 -20 23:18 'DBMS <br />13. Is weed control being conducted in accordance with an approved Weed Control Plan? YES NO iL <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 mining has exposed groundwater, is the site in compliance with the approved mining plan and Office of the <br />Engineer (Well Permit, S.W.S.P., and/or Permanent Augmentation Plan)? YES NO <br />17. Are all hazardous materials stored within approved spill containment structures? YES NO <br />18. Is your financial warranty value sufficient to cover the cost to complete reclamation? YES NO <br />19. Is your basis for legal right to enter still valid ? NO <br />20. Does your permit require you to submit monitoring information annually? <br />If "Yes ", please attach the required monitoring results to this Annual Report. <br />21. As required by rule, attach a map to this report that accurately depicts the permit boundary, current affected area <br />boundary and location of the acreages specified in items 7 -12 and 14. UPDATED MAP ATTACHED; <br />Division records indicate the following permittee contact information. If this information is not current, please type or <br />print current contact information: <br />Permittcc Contact: <br />Permittee Company: <br />Address: <br />Phone Number: <br />Fax Number: <br />Email Address: <br />John Goodman <br />Morgan County Government <br />P.O. Box 189 <br />Fort Morgan, CO 80701 <br />(970) 542-3560 <br />(970) 542-3569 <br />CF.PR.email <br />3038328106 » 9705423569 <br />YES NO <br />X2 - <br />Signa of Permittee. Corporate Oflficer, Owner or Documented Designee Date <br />P 1/1 <br />Pa 3 of 3 <br />1, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are <br />being conducted in acco° ance with the Division approved mining and reclamation plans. <br />