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Permittee Contact: <br />Todd Fisher <br />Permittee Company: <br />LBCR, LLC <br />Address: <br />1440 Blue Sage Ct. <br />Boulder, CO 80305 <br />Phone Number: <br />(303) 499 -0707 <br />{ ..1.i7 <br />--1. hNobl`)c, /WI A 0 <br />' <br />Fax Number: <br />- N /4 <br />Email Address: <br />CF.PR.email <br />f dJ , 4 • / , 1 lc, Q �; l , C6 <br />13. Is weed control being conducted in accordance with an approved Weed Control Plan? YE NO N/A <br />If "YES ", indicate the weed species, control area, control type, application rate and treatment ate 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 th� <br />Engineer (Well Permit, S.W.S.P., and/or Permanent Augmentation Plan)? YES NO N/ <br />17. Are all hazardous materials stored within approved spill containment structures? YES NO /A <br />18. Is your financial warranty value sufficient to cover the cost to complete reclamation? NO N/A <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? NO NO N/A <br />If "Yes ", please attach the required monitoring results to this Annual Report. <br />d 07( <br />21. As required by rule, attach a map to this report that accurately depicts the permit boundary, current affect d ez z <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 .. cordance with the Division approved mining and reclamation plans. <br />111 4144 //Ail' <br />Signature of ermittee, Corporate Officer, wn r, or Documented Designee <br />Page 3 of 3 <br />YES) NO N/A <br />NO N/A <br />�ls�l Z <br />Date <br />