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Permittee Contact: <br />Joe Kozimor <br />Permittee Company: <br />Consolidated Constructors, Inc. <br />Address: <br />P.O. Box 629 <br />Farmington, NM 87499 <br />Phone Number: <br />(505) 326 -7771 <br />Fax Number: <br />(505) 326 -7774 <br />Email Address: <br />CF.PR.email <br />17. Are all hazardous materials stored within approved spill containment structures? <br />18. Is your financial warranty value sufficient to cover the cost to complete reclamation? <br />19. Is your basis for legal right to enter still valid? <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 />Si <br />Owner, or Documented Designee <br />16. If mining has exposed groundwater, is the site in compliance with the approved mining plan and Office of the S <br />Engineer (Well Permit, S.W.S.P., and/or Permanent Augmentation Plan)? YES NO <br />YES <br />Date <br />Page 3 of 3 <br />13. Is weed control being conducted in accordance with an approved Weed Control Plan? NO N /AL_ <br />If "YES ", indicate the weed ,H species, control area control type, application rate and treatment ' ate on the report map <br />C Ar4J IA 4) r h13 - rt. - AR 4 Z rno.s1 ILEs7Rc�N�is 5 -3 A <br />2/ — �-4 ND SPk C -A oN GAt' � <br />M v T 1 A - R F 4 .4,05 Y M c E s E S APC,� F 4o -, 3 - 5 a2/ act —Ifa A i( VA kV' if w . <br />14. -Is adequate topsoil reserved tor reclamation, based T on yo lk approved permit? N N/A <br />If "NO ", please explain: <br />15. Is the reserved topsoil vegetated/stabilized in accordance with Rule 3.1.9(1)? NO N/A <br />If "NO" please explain: <br />NO N/A <br />NO N/A <br />NO <br />N/A <br />21. As required by rule, attach a map to this report that accurately depicts the permit boundary, current affected r a <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 />I, 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 Once with the Division approved mining and reclamation plans. <br />