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Permittee Contact: <br />Scott A. Butters <br />Permittee Company: <br />Camp Bird Colorado, Inc. <br />Address: <br />P.O. Box 806 <br />Salt Lake City, UT 84110 <br />Phone Number: <br />(801) 355 -7260 <br />Fax Number: <br />(801) 521 -6400 <br />801- 415 -9176 <br />Email Address: <br />CF.PR.email <br />campbirdcolorado @comcast.net <br />13. Is weed control being conducted in accordance with an approved Weed Control Plan? YES NO <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 />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 />16. If mining has exposed groundwater, is the site in compliance with the approved mining plan and Office of the S to <br />Engineer (Well Permit, S.W.S.P., and/or Permanent Augmentation Plan)? <br />17. Are all hazardous materials stored within approved spill containment structures? YES NO <br />18. Is your financial warranty value sufficient to cover the cost to complete reclamation? NO N/A <br />19. Is your basis for legal right to enter still valid? NO <br />NO N/A <br />YES NO <br />Page 3 of 3 <br />NO N/A <br />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• THE ° °HANOE TD <br />THE MOST RECENT MAP <br />ALREADY ON FILE <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 />F. A ecoutt.co, <br />Signature of Permittee, Corporate Officer, Owner, or Documented Designee Date <br />December 7, 2012 <br />