2013-01-10_REPORT - M1977245 (2)

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Permittee Contact: Louis Anderson Permittee Company: Jefferson County Address: 21401 Golden Gate Canyon Road Golden, CO 80403 -8108 Phone Number: (303) 271 -5205 Fax Number: (303) 271 -5222 Email Address: CF.PR.email 14. Is adequate topsoil reserved for reclamation, based on your approved permit? If "NO ", please explain: 15. Is the reserved topsoil vegetated/stabilized in accordance with Rule 3.1.9(1)? YES NO If "NO" please explain: Signature of Permittee, Corporate Officer, Owner, or Documented Designee Date //.3 Page 3 of 3 j� e...7% "ova / to /dry g/I 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. CV NO N/A 16. If mining has exposed groundwater, is the site in compliance with the approved mining plan and Office of the S (Well Permit, S.W.S.P., and /or Permanent Augmentation Plan)? YES NO 17. Are all hazardous materials stored within approved spill containment structures? YES NO 18. Is your financial warranty value sufficient to cover the cost to complete reclamation? YES NO 19. Is your basis for legal right to enter still valid? NO 20. Does your permit require you to submit monitoring information annually? YES 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 area / boundary and location of the acreages specified in items 7- 12 and 14. UPDATED MAP ATTACHED: `x 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.