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1 <br />• 17 Arc all Kinardtiii mater,ale 0to,ed .,r(l,tn appros,e,i .pil! cnr <br />18 Ie your financial warranty value sufficient to ...mot. the coq t • compl4 t, l ;rnt,tttr <br />19 6 your basis for legal right to enter still valid' <br />20, Does your permit require you to !Allmon monitoring tufrn o :thin annually" <br />If "Yes ", please :mach the required tnonitnrtng results to this Annual Hera ■i <br />21. As required by tole. attach a map to thus report that .a,,erratcly depicts the ite•( nut hmundar) . tinCM affected area <br />boundary and location of the acreages specif,ed to trim 7 - 12 and t-t t;lMA"I lI) MAP ATI' ACHED. `I't✓� <br />Division records indicate the following permitree contact in:urinallun II' this it it urination is mot currant, plc:nr lyr, or <br />print current contact infOrmattntt <br />Pernuttee Contact: F red <br />Perinittre Company: <br />Address: <br />13 Is weed control being conducted in accordance with an approved weed Control {'Ian'' t TS Nt) <br />If "YtiS indicate the weed species, control area, control type, applic,uuln rate and treatment tape 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 vel :CI ICrlfstabtlired in .uCordnh,L with Role 1 ' ?r 1; <br />If "NO' please explain <br />16 If nmmig h exposed p'rotrrdwaler, i , the .etc to compliancy ,vith the approved mining pla and Office of the <br />Engineer (Well Permit, S'Y.S P, anti /or Permanent Augmentation Plan)' YF.S Nu <br />Phony Number: <br />Entai Address: <br />Bacuhtc Mesa. 1,1 <' <br />54; not <br />Denver, CO 8(12Ih -2010 <br />(3031 295 1311 <br />ax Number ( 1011 ?9s- 1 ?Sr} <br />r'I I'll email <br />_ <br />/ t" EiS NO N/A <br />N(I <br />('age 3 of 3 <br />NO N/A <br />Ni NIA <br />A <br />NO <br />YEN NO <br />I. the undersigned, hcrrhv state that the information port nied in this report is trite arul ,iccnr,m•, .arid that stir opera tions are <br />being a iducled to accordance with the Di vi sum appri veil ninmy Arid rp, a pl,ms <br />✓ ? <br />Signal t"i1e of Permittee, Corporate Offerer, O ner, nr Documented Designee <br />