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Permittee Contact: <br />Manuel Torrez <br />Permittee Company: <br />The Fort Lyon Canal Company <br />Address: <br />750 Bent Ave. <br />Las Animas, CO 81054 <br />Phone Number: <br />(719) 456 -0720 <br />Fax Number: <br />(719) 456 -1609 <br />Email Address: <br />CF.PR.email <br />20. Does your permit require you to submit monitoring information annually? YES NO <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 />Signature of P <br />Sign , Cdporate Officer, Owner or Documented Designee <br />c \\ko \ <br />Date <br />Page 3 of 3 <br />13. Is weed control being conducted in accordance with an approved Weed Control Plan? YES 0 N/A <br />If "YES ", indicate the weed species, control area, control type, application rate and treatment date on the report map. <br />NO N/A <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)? YES O N/A <br />If "NO" please explain: Lc- cLV %41.,wD -tea- 40 p ���� <br />OY =■nY. v■ c wE41 %OWN -M -w01.J t- kpa7ctpn-.' *at - aG SEE �.w a - Uo OsvuW.AA fi . <br />q. t' K ST � �.\.. Q I.w• of - fir. N64 �. <br />16. If mining has exposed groundwater, is the site in compliance with the approved mining plan and Office of the Stale <br />Engineer (Well Permit, S.W.S.P., and/or Permanent Augmentation Plan)? YES NO N/A <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? YE NO N/A <br />19. Is your basis for legal right to enter still valid? NO <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 />