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Permittee Contact: <br />Jason Burkey <br />Fertilizer <br />application <br />method: <br />Permittee Company: <br />Oldcastle SW Group, Inc. dba <br />United Companies of Mesa <br />County <br />/3 /awY -, <br />le <br />C r % •,-. e cJG <br />Address: <br />P.O. Box 3609 <br />Grand Junction, CO 81502 <br />Phone Number: <br />(970) 243 -4900 <br />Fax Number: <br />(970) 243 -5945 <br />CF.PR.cmail <br />jburkey @oldcastlematerials.com <br />Email Address: <br />Seed <br />application <br />method: <br />l'ra&d c as -t <br />, <br />1/ c/ r" <br />Fertilizer <br />application <br />method: <br />L ?rn c a2s , t <br />74/ d r- v <br />Mulch <br />application <br />method: <br />/3 /awY -, <br />le <br />C r % •,-. e cJG <br />13. Is weed control being conducted in accordance with an approved Weed Control Plan? NO N/A <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 />16. If mining has exposed groundwater, is the site in compliance with the approved mining plan and Office of the State <br />Engineer (Well Permit, S.W.S.P., and /or Permanent Augmentation Plan)? Q3 NO N/A <br />YES NO <br />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 />19. Is your basis for legal right to enter still valid? <br />nature of ermittee Cte Off' e <br />g p is r, Owner, or Documented Designee <br />Si <br />NO N/A <br />NO N/A <br />NO <br />O//.7()//_; <br />Date <br />20. Does your permit require you to submit monitoring information annually? YES CD N/A <br />If "Yes ", please attach the required monitoring results to this Annual Report. <br />r <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: <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 />