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Permittee Contact: <br />Jeremy Lucero <br />[ <br />�� Gth .JGinei r <br />/7) 2e h4 4. f 6 co S <br />Permittee Company: <br />Colorado Division of Highways <br />1 <br />0tO - 64o D c t of 7retrwl6cf, <br />Address: <br />222 S 6th St Rm 317 <br />Grand Junction, CO 81501 <br />to Oc4, S c i-h S4JC - C. -F- <br />(i CA S c_'1 � CC) l CO <br />Phone Number: <br />(970) 683 -6223 <br />Fax Number: <br />(970) 683 -6227 <br />C O 0 zi;g1 6 3 C, V j� <br />Email Address: <br />CF.PR.email <br />I . .._14 ne i ec r Q 561-c , Co, o S <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 p. <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 />NO N/A <br />dO NO N/A <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)? YES NO <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? YES NO <br />19. Is your basis for legal right to enter still valid? 07S ) NO <br />20. Does your permit require you to submit monitoring information annually? NO N/A <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 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 undersign <br />being conduc <br />Signature of Permittee, Corpo <br />Page 3 of 3 <br />hereby state at the information provided in this report is true and accurate, and that site operations are <br />°cordance ith the Division approved mining and reclamation plans. <br />fficer, Owner, or Documented Designee Date <br />