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Permittee Contact: <br />Vincent Sadowski <br />E p t c. L I; ( 6 - <br />Permittee Company: <br />Quikrete Materials, LLC <br />MGN/}2GN n4vi.Ar-irir),J MsiJ .4,.V <br />Ao6r16.64l . <br />Address: <br />3490 Piedment Rd., Suite 1300 <br />Atlanta, GA 30305 <br />M <br />Phone Number: <br />(404) 634 -9100 <br />(3 03) 4z9 zlri <br />Fax Number: <br />(404) 841 -0174 <br />( <br />Email Address: <br />CF.PR.email <br />r L f_ l G H@ Gt u i K 2r: i r . (.0/.4 <br />13. Is weed control being conducted in accordance with an approved Weed Control Plan? YES NO N/A <br />If "YES ", indicate the weed species, control area, control type, application rate and treatment date on t e 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 State <br />Engineer (Well Permit, S.W.S.P., and /or Permanent Augmentation Plan)? YES NO 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 />20. Does your permit require you to submit monitoring information annually? <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 />�2rc i.r; tGN <br />YES NO N/A <br />YES <br />Signature of Permittee, Corporate Officer, Owner, or Documented Designee Date <br />Page 3 of 3 <br />NO N/A <br />NO N/A <br />NO N/A <br />NO <br />N/A <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 />M4,241-1 i3 2.013 <br />