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Contact: <br />�•y <br />1 . --" ; " _A - 5 - 1 - <br />.�'S� ; 0 L t , -C't C r'V <br />Permittee Company: <br />City of Delta <br />Address: <br />360 MAin Street <br />Delta, CO 81416 <br />Phone Number: <br />(970) 874 -7566 <br />Fax Number: <br />Email Address: <br />CF.PR.email <br />Page 3 of 3 <br />7 <br />13. Is weed control being conducted in accordance with an approved Weed Control Plan? 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 />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 />If "Yes ", please attach the required monitoring results to this Annual Report. <br />Signature(yfPermittee Cor s oras7I fficer, Owner, or Documented Designee Date <br />YES NO N/A <br />O YES) NO N/A <br />16. If mining has exposed groundwater, is the site in compliance with the approved mining plan and Office of the <br />Engineer (Well Permit, S.W.S.P., and/or Permanent Augmentation Plan)? YES NO <br />17. Are all hazardous materials stored within approved spill containment structures? <br />18. Is your financial warranty value sufficient to cover the cost to complete reclamation? YES NO N/A <br />19. Is your basis for legal right to enter still valid? NO <br />YES NO N/A <br />20. Does your permit require you to submit monitoring information annually? YES NO ) N/A <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 />Sv�JO a-ofa- <br />