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08 /02 /2012 20 17 FAX 307 635 6744 <br />Fedex Office Cheyenne <br />FROM :Colorado Land Investments FAX NO. :7193468473 <br />13_ Is weed control being conducted in accordance with an approved Weed Control Plan? <br />NC) N/A <br />If "YFS ", indicate the weed species, control area, control type, application rate and treatment date on the report. map. <br />approved permit? <br />NO N/A <br />14. is adequate topsoil reserved for reclnnwtion. based on your app pe <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 />nin has exposed groundwater, is the site in compliance with the approved mining plan a Office is the <br />lb_ If ms g YES NO <br />Engineer (Well Permit, S.W.S.P., and/or Permanent Augaracntatiorl Flan} . ` +' YES NO V'�lA� <br />17, Are all hazardous materials stored within app roved spill containment structures? NO NIA <br />value sufficient to cover the cost to complete reolamation? <br />1 S. Is-your financial warranty vat NO <br />19, Is your basis for legal right to enter still valid? YES NO /X: ~) <br />20. Does your permit require you � redhmuraimonitoring c <br />l� f his Aa Report, <br />if "Yes ", please attach the require , torrent affected area <br />to this report that accurately dcpic.ts the permit boundary, <br />21. As required by cats attach a map <br />f the acreages specified in items 7- 12 and 14. UPDATED MAP ATTACHED: �' <br />boundary and location 0 please type or <br />D1 <br />visinn records indicate the fallowing permittce contact information. If this information is not current, I ype <br />print curse contact information: <br />Permit Contact_ Brack VasSios <br />Permittee Company; <br />Address: <br />Phone Number: <br />Crystal Springs Ranch Inc. <br />ll?t1E, 6th St. <br />P-eBox i9— <br />Flagia:r, CO 80813 <br />(719) 349.1765 <br />CF.PR.trr ill <br />Fax Number: <br />Email Address: <br />I, the undersigned, hereby stun that t h e information provided ved mining and reclamation planF• in this report is true and accurate, and that site operations are <br />being conducted in accordance with the Division Lipp <br />- .: ._ - - <br />Signature of pexititge, Citt,torafficer Owner' or EmanCIIWUNUM <br />R <br />Aug. 02 2012 01:40PM P4 <br />Page 3 of 3 <br />YES NO NIA .' <br />Date <br />