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Permittee Contact: <br />Julie Justus <br />Fertilizer <br />application <br />method: <br />Permittee Company: <br />Chevron Shale Oil Company, a <br />division of Chevron USA, Inc. <br />J4 <br />Address: <br />760 Horizon Drive Suite 412 <br />Grand Junction, CO 81506 <br />Phone Number: <br />(970) 257 -6042 <br />Fax Number: <br />(970) 245 -6489 <br />Email Address: <br />ail <br />uS}uSCE t/r0 vl.. <br />Seed <br />application <br />method: <br />a _ i <br />oroacicask <br />Fertilizer <br />application <br />method: <br />NA <br />Mulch <br />application <br />method: <br />J4 <br />13. Is weed control being conducted in accordance with an approved Weed Control Plan? YES <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 />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? <br />19. Is your basis for legal right to enter still valid? <br />20. Does your permit require you to submit monitoring information annually? <br />If "Yes ", please attach the required monitoring results to this Annual Report. <br />(2/4/Le <br />YES <br />If "YES ", indicate the weed species, control area, control type, application rate and treatment date on t report map. <br />NO N/A <br />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 />YES NO <br />NO N/A <br />NO <br />Page 4 of 5 <br />N/A <br />N/A <br />21. As required by rule, attach a map to this report that accurately depicts the permit boundary, current affected ea <br />boundary and location of the acreages specified in items 7- 12 and 14. UPDATED MAP ATTACHED: )'( S <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 />