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Permittee Contact: <br />Lynn M. Shults <br />Permittee Company: <br />L.G. Everist, Inc. <br />Address: <br />7321 E. 88th Ave., Ste 200 <br />Regulatory Manager <br />Henderson, CO 80640 <br />Phone Number: <br />(303) 287 -4656 <br />Fax Number: <br />(303) 289 -1348 <br />Email Address: <br />CF.PR.email <br />/p 3/ H.S4 /0 &VaC /3' ; 49/4— <br />15. Is the reserved topsoil �getat�ce ' tabilized in accordance with Rule 3.1.9(1)? <br />If "NO" please explain. <br />Engineer (Well Permit, S.W.S.P., and /or Permanent Augmentation Plan)? <br />Page 3 of 3 <br />13. Is weed control being conducted in accordance with an approved Weed Control Plan? C YES) NO N/A <br />If "YES ", indicate the weed species, control area, control type, application rate and treatment date on the report map. <br />d 4- 34 Get. )4cow€d V f <br />14. Is adequate topsoil reserved for reclamation, based o our approved peMnit ( E NO N/A <br />If "NO ", please explain: <br />NO N/A <br />16. If mining has exposed groundwater, is the site in compliance with the approved mining plan a ffice of the State <br />NO N/A <br />17. Are all hazardous materials stored within approved spill containment structures? YES NO N/A <br />18. Is your financial warranty value sufficient to cover the cost to complete reclamation? YE NO N/A <br />19. Is your basis for legal right to enter still valid? YES NO <br />20. Does your permit require you to submit monitoring information annually? YES NO N/A <br />If "Yes ", please attach the required monitoring results to this Annual Report. <br />21. As required by rule, attach a map to this report that accurately depicts the permit boundary, current affected area <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 accordance with the Division approved mining and reclamation plans. <br />O?/ 7/ /2 <br />Signature of Permittee, Corporate Officer, Owner, or Documented Designee Dat <br />