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Permittee Contact: <br />Troy Crane <br />Pti ®r s-i-vv <br />Permittee Company: <br />Baca County <br />Address: <br />741 Main St. <br />Springfield, CO 81073 <br />•41 1 ill C1 ti 4 (54- - , k.,-e. <br />.e f C o I v'3 <br />f;t1r., n. <br />Phone Number: <br />(719) 523 -6532 <br />i <br />Fax Number: <br />(719) 523 -6584 <br />Email Address: <br />CF.PR.email <br />l/1 ,j D rrriist7X, 12 b ame. own c 0 ,1 01 <br />Page 3 of 3 <br />13. Is weed control being conducted in accordance with an approved Weed Control Plan? ' YE NO N/A <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 />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 />I, the undersigned, hereby stat <br />being conducted in accordan <br />Signatur of'rmittee Co <br />YES NO N/A <br />NO N/A <br />16. If mining has exposed groundwater, is the site in compliance with the approved mining plan and Office of the St ate <br />Engineer (Well Permit, S.W.S.P., and /or Permanent Augmentation Plan)? YES NO <br />Officer, Owner, or D s cumented Designee Date <br />YES NO <br />NO N/A <br />/ 9 NO <br />YES NO ( N/A <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: l`- <br />Division records indicate the following permittee contact information. If this information is not current, please type or <br />print current contact information: <br />e information provided in this report is true and accurate, and that site operations are <br />e Division approved mining and reclamation plans. <br />-1 I1 -i3 <br />