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Permittee Contact: <br />Jeffrey L. Schumacher <br />Permittee Company: <br />Jeffrey L. Schumacher <br />Address: <br />18751 County Road 37 <br />Sterling, CO 80751 <br />/ $ 15 / C; c <br />3 t-r 1' <br />.t £e c 37.� <br />r L� S <br />t co 943 7 S/ <br />Phone Number: <br />552 6979 <br />,`.x; <br />/'r! 7o) - 5.20 - <br />5-6g; <br />(970) /1 4,, i .;_ <br />PI. <br />Fax Number: <br />Email Address: <br />CF.PR.email <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 />16. If mining has exposed groundwater, is the site in compliance with the approved mining plan and Office of the tate <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 N� <br />18. Is your financial warranty value sufficient to cover the cost to complete reclamation? C Y_� NO N/A <br />19. Is your basis for legal right to enter still valid? NO <br />20. Does your permit require you to submit monitoring information annually? YES 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 are 3/4"--- � <br />boundary and location of the acreages specified in items 7- 12 and 14. UPDATED MAP ATTACHED: ��p 4 <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 />Sig a ur of Permittee, Corporate Officer, Owner, or Documented Designee <br />/? r cv ��. S 1"" <br />PdAl r✓2 ,�•3 <br />Page 3 of 3 <br />YES NO J <br />YES NO Ca> <br />2 - /9 - /3 <br />Date <br />rec,<a ern. / "( O c cc:,rr ef 14 f . <br />/ 5 r`ecla.e�raac 747 7 - ?.'z - ''v70i'c' i/7 Yw • <br />