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Inspection Contact Address <br />Mr. Mike Bucklen <br />Bucklen Equipment Company <br />804 N 25th Ave <br />Greeley, CO 80631 <br />Cc: Tom Kaldenbach, DRMS <br />TC Wait, DRMS <br />Tom Welch, City of Greeley - Island Grove Park <br />Sigr atu <br />CERTIFIED MAIL 7009 2820 0003 5701 2718 <br />RETURN RECEIPT REQUESTED <br />PERMIT #: M -1982 -131 <br />INSPECTOR'S INITIALS: PSH <br />INSPECTION DATE: June 6, 2012 <br />GENERAL INSPECTION TOPICS <br />The following list identifies the environmental and permit parameters inspected and gives a categorical evaluation of each <br />(AR) RECORDS <br />(HB) HYDROLOGIC BALANCE <br />Y (FN) FINANCIAL WARRANTY N (RD) ROADS --- -- - - -- Y <br />Y (BG) BACKFILL & GRADING ----- PB (EX) EXPLOSIVES--- -- - - -- NA <br />(PW) PROCESSING WASTE/TAILING - - -- NA (SF) PROCESSING FACILITIES Y (TS) TOPSOIL <br />NA <br />(MP) GENL MINE PLAN COMPLIANCE- N (FW) FISH & WILDLIFE NA (RV) REVEGETATION - - -- Y <br />(SM) SIGNS AND MARKERS - - - - -- Y (SP) STORM WATER MGT PLAN - - -- NA (SB) COMPLETE INSP - - -- Y <br />(ES) OVERBURDEN/DEV. WASTE NA (SC) EROSION /SEDIMENTATION - -- NA (RS) RECL PLAN /COMP -- Y <br />{AT) ACID OR TOXIC MATERIALS NA (OD) OFF -SITE DAMAGE NA (ST) STIPULATIONS NA <br />Y = Inspected and found in compliance / N = Not inspected / NA = Not applicable to this operation / PB = Problem cited / PV = Possible violation cited <br />I, Peter Hays, hereby certify that on June 18, 2012, I deposited a true and complete copy of this foregoing <br />inspection report in the United States Mail, first class postage paid, to the operator of record for this site at <br />the address indicated, and to those others within the body of this report who have been designated to receive <br />copies (Divisi t1 ersonnel e cepted). <br />Page 6 of 6 <br />