2012-11-21_REPORT - M1987038

• Permit No: M1987038
• IBM Index Class Name: REPORT
• Doc Date: 11/21/2012
• From: Oldcastle SW Group, Inc.
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Media Type: D
• Archive: No

Permittee Contact:
Matt Carnahan
Permittee Company:
Oldcastle SW Group, Inc dba
Four Corners Materials
Address:
P.O. Box 1969
6699 CR 521
Bayfield, CO 81122
Phone Number:
(970) 247 -2172
Fax Number:
(970) 259 -3631
Email Address:
CF.PR.email
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15. Is the reserved topsoil vegetated/stabilized in accordance with Rule 3.1.9(1)?
If "NO" please explain:
Page 3 of 3
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13. Is weed control being conducted in accordance with an approved Weed Control Plan? NO N/A
If "YES ", indicate the weed species, control area, control type, application rate and treatment date on the report map.
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14. Is adequate topsoil red for reclla based on your approved permit? 6ES NO N/A
If "NO ", please explain:
NO N/A
16. If mining has exposed groundwater, is the site in compliance with the approved mining plan and Office of the State
Engineer (Well Permit, Ste., and/or Permanent Augmentation Plan)? (IE� NO N/A
17. Are all hazardous materials stored within approved spill containment structures? fES) NO N/A
18. Is your financial warranty value sufficient to cover the cost to complete reclamation? CYF� NO N/A
19. Is your basis for legal right to enter still valid? ES NO
20. Does your permit require you to submit monitoring information annually? YES (0) N/A
If "Yes ", please attach the required monitoring results to this Annual Report.
21. As required by rule, attach a map to this report that accurately depicts the permit boundary, current affected are /
boundary and location of the a rea, es specified in items 7- 12 and 14. UPDATED MAP ATTACHED: N/
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Division records indicate the following permittee contact information. If this information is not current, please type or
print current contact information:
I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are
being conducted in accord., ce with the Division approved mining and reclamation plans.
1 1 / i 0 -012.
Signature of Permittee Corporate Officer, Owner, or Documented Designee Date