2012-11-21_REPORT - M2007014 ‎(2)‎

• Permit No: M2007014
• IBM Index Class Name: REPORT
• Doc Date: 11/21/2012
• Doc Name: Annual Report for 2012
• From: Larsen Colorado, LLC
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Email Name: TC1
• Email Name: BMK
• Media Type: D
• Archive: No

Permittee Contact:
Norbie Larsen
Permittee Company:
Larsen Colorado, L.L.C.
?. -- i\ `i „ v\-- ,. o rs ) 6/ ZQ IA . IA_ e ,arry
Address:
927 Highway 115
P.O. Box 670
Penrose, CO 81240
kO'n �ot;ckay i•■■.)e?
S) e_ J ( 6V•C) l K 0
Phone Number:
(719) 372 -7114
01c(S`A-7-03L:3
Fax Number:
(719) 372 -7118
Email Address:
CF.PR.email
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13. Is weed control being conducted in accordance with an approved Weed Control Plan? YES NO N/A
If "YES ", indicate the weed species, control area, control type, application rate and treatment date on the report map.
14. Is adequate topsoil reserved for reclamation, based on your approved permit?
If "NO ", please explain: ` f\�<e- �5 �� l�-q� Z -,C�() \I� Aro, °Fr • - "ANe - PeiM ". off ¥ &4o i P 5-
15. Is the reserved topsoil vegetated /stabilized i accordance with Rule 3.1.9(1)? YES NO_) N/A
If "NO" please explain: 32-k- ' S �v, ��r �l - tr
5� �k VAS t`.v,�X eceko��.a srcx.� �.c i
16. If mining has exposed groundwater, is the site in compliance with the approved mining plan and Office of the ,Stat
Engineer (Well Permit, S.W.S.P., and /or Permanent Augmentation Plan)? YES NO N/A
YES NO N/A
ES NO N/A
17. Are all hazardous materials stored within approved spill containment structures?
18. Is your financial warranty value sufficient to cover the cost to complete reclamation?
19. Is your basis for legal right to enter still valid?
20. Does your permit require you to submit monitoring information annually?
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 area
boundary and location of the acreages specified in items 7- 12 and 14. UPDATED MAP ATTACHED:
Page 3 of 3
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 accordance with the Division approved mining and reclamation plans.
11 12 0 It2
Signature of Permitter Cor s or f Offic r, Owner, or Documented Designee Date