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Permittee Contact: <br />Patricia Farnsworth <br />Permittee Company: <br />River Bottom Land Corporation <br />Address: <br />175 Highway 133 <br />Paonia, CO 81428 <br />Phone Number: <br />(970) 527 -4434 <br />Fax Number: <br />(970) 527 -5522 <br />i <br />Email Address: <br />Pc -r a 5 ,,.)crt4 CC n54-ri ce crng y et J4"— i . co ni <br />13. Is weed control being conducted in accordance with an approved Weed Control Plan? ES NO N/A <br />If "YES ", indicate the weed species, control area, control type, application rate and treatment e 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 />17. Are all hazardous materials stored within approved spill containment structures? <br />18. Is your financial warranty value sufficient to cover the rest 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 />Signature of Permitte , orporate Officer, Owner, or Documented Designee <br />O EJ 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 ffice of the State <br />Engineer (Well Permit, S.W.S.P., and /or Permanent Augmentation Plan)? <br />NO N/A <br />YES NO <br />YES NO N/A <br />NO <br />YES V 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: <br />Division records indicate the following permittee contact information. If this information is no t ent p ase 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 />// /43 <br />Date <br />Page 3 of 3 <br />