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Permittee Contact: <br />Melanie Bounds <br />Permittee Company: <br />Huerfano County <br />Address: <br />401 Main St., Ste. 105 <br />Walsenburg, CO 81089 <br />C � L_ <br />:L` � j <br />v Cry$ <br />Phone Number: -- <br />(9 738-2420 <br />Fax Number: <br />(719) 738 -3996 <br />Email Address: <br />CF.PR.email <br />\YES NO N/A <br />f II "YES ", indicate the weed sp c }es, control irea, control type, application rate nd treatment date on the report map. <br />\l'mc \- c \t �'_ \ 11` ) I �,� I <br />14. Is adequate topsoil reserved for reclamation, based on-Our approved pe ' YES NO N/A <br />If "NO ", please explain: <br />13. Is weed control being conducted in accordance with an approved Weed Control Plan? <br />15. Is the reserved topsoil vegetated /stabilized in accordance with Rule 3.1.9(1)? <br />If "NO" please explain: <br />16. If mining has exposed groundwater, is the site in compliance with the approved mining plan and Office of the to <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? <br />18. Is your financial warranty value sufficient to cover the cost to complete reclamation? <br />Signature of rmitteerporate Officer, Owner, or Documented Designee <br />( <br />YES NO N/A <br />19. s your basis for legal right to enter til valid? / ( YES) NO <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 />21. As required by rule, attach a map to this report that accurately depicts the permit boundary, current affected <br />boundary and location of the acreages specified in items 7- 12 and 14. UPDATED MAP ATTACHED: <br />Page 3 of 3 <br />YES 1 NO N/A <br />YES NO (N/A <br />YES , NO 1 N/A <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 undrsigned, hereby state that the information provided in this report is true and accurate, and that site operations are <br />being con ucted Iin accordance w_ ith the Division approved mining and reclamation plans. <br />Date <br />