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Permittee Contact: <br />Julie Mikulas <br />Permittee Company: <br />Martin Marietta Materials, Inc. <br />Address: <br />1800 N. Taft Hill Road <br />Fort Collins, CO 80521 <br />Phone Number: <br />(970) 227 -4041 <br />Fax Number: <br />(970) 407 -3900 <br />Email Address: <br />CF.PR.email <br />1 <br />)1 <br />1 �' <br />M )'I I I ' <br />K- u ((LS « ) lr <br />v 1 f i) ircwrie tl , Cc <br />Page 3 of 3 <br />13. Is weed control being conducted in accordance with an approved Weed Control Plan? YES NO /A) <br />If "YES ", indicate the weed species, control area, control type, application rate and treatment date on the repo 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 />YES NO <br />YES NO VA <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 ( N/A <br />) <br />18. Is your financial warranty value sufficient to cover the cost to complete reclamation? �YYES NO N/A <br />OYES) NO <br />19. Is your basis for legal right to enter still valid? <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 area <br />boundary and location of tile acreages specified in items 7- 12 and 14. UPDATED MAP ATTACHED: lQ <br />- 11YLt n t 5 h cfi S r -l-r ►'a p <br />Division records indicate the following permittee contact information. If this infohmation is' of 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 <br />ature of Permittee, Corporate Officer, Owner, or Do ' mented Designee <br />Date <br />