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Permittee Contact: <br />Joseph C. Welte <br />Permittee Company: <br />Summit Pressed Brick & Tile <br />Co. <br />Address: <br />P.O. Box 533 <br />Pueblo, CO 81002 -0533 <br />Phone Number: <br />(719) 542 -8278 <br />Fax Number: <br />(719) 542 -5243 <br />Email Address: <br />CF.PR.email <br />13. Is weed control being conducted in accordance with an approved Weed Control Plan? 4 NO N/A <br />If "YES ", indicate the weed species, control area, control type, application rate and treatment date on the report map. <br />(I D A.Joyi ovca Wet °15 r, co.a►4A, nau ;, ai:'l" <br />14. Is adequate topsoil reserved for reclamation, based on your approved permit? NO N/A <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 />A. CU <br />Coo <br />Signature of Permittee, Corporate Officer, Owner, or Documented Designee <br />YES NO <br />Page 3 of 3 <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 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? <br />18. Is your financial warranty value sufficient to cover the cost to complete reclamation? NO N/A <br />19. Is your basis for legal right to enter still valid? NO <br />20. Does your permit require you to submit monitoring information annually? YES e 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 the acreages specified in items 7- 12 and 14. UPDATED MAP ATTACHED <br />/' <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 />`1 ,// 9 /Z c <br />Date <br />