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Pernittee Contact: <br />Thomas J. Murray <br />Permittee Company: <br />The Lakewood Brick and Tile <br />Company <br />Address: <br />1325 Jay St <br />Lakewood, CO 80214 -2052 <br />See attached page for additional <br />information. <br />Phone Number: <br />(303) 238 -5313 <br />Fax Number: <br />(303) 237 -7737 <br />Email Address: <br />CF.PR.email <br />13. Is weed control being conducted in accordance with an approved Weed Control Plan? YES XIX 'XXX <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 XX <br />If "NO ", please explain: <br />15. Is the reserved topsoil vegetated/stabilized in accordance with Rule 3.1.9(1)? YES XIS N% <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)? X1 X XIX N/A <br />17. Are all hazardous materials stored within approved spill containment structures? YES XX DUB <br />18. Is your financial warranty value sufficient to cover the cost to complete reclamation'? YES XX <br />19. Is your basis for legal right to enter still valid? YES ➢Qx <br />20. Does your permit require you to submit monitoring information annually? XX3< NO XX <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 pennittec 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 conductclin accord9.c wit. he Division approved mining and reclamation plans. <br />12/;--.4 <br />v I <br />Signa re of Pern,j.itfee, Corporate 0 icer, Owner, or Documented Designee Date <br />Page 3 of 3 <br />