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Permittee Contact: <br />Ken Evans <br />Permittee Company: <br />Reclamation Ridge, LLC <br />Address: <br />P.O. Boxes 94-1 <br />ley; CO 89446 <br />NOTE: Please refer to attached sheet for <br />more information and monitoring well data. <br />Phone Number: <br />(970) 887 -8995 <br />Fax Number: <br />(970) 887 -9579 <br />Email Address: <br />C F . PR .e m a il <br />- reveikingiretyahee,c - ern — 04 � �,�{ 6 k v <br />,acCSn,n. , �( <br />13. Is weed control being conducted in accordance with an approved Weed Control Plan? YES ) X XA <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? YES WO <br />If "NO ", please explain: <br />15. Is the reserved topsoil vegetated/stabilized in accordance with Rule 3.1.9(1)? YES )04 <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)? XXX XX) 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 />YES X91) XXA <br />YES M <br />YES x <br />20. Does your permit require you to submit monitoring information annually? YES X40 MA <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 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 />Signature of Permittee, Corporate Officer, Owner, or Documented Designee Date <br />C.'. <br />Page 4 of 4 <br />