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Page 3 c, <br />Seed <br />Martin L. Shafer <br />Fertilizer <br />Permittee Company: <br />-- _ - <br />Mulch <br />application <br />444 E. Costilla <br />Colorado Springs, CO 80903 <br />application <br />r1A <br />application <br />A)14 <br />method: <br />(719) 598 -3053 <br />method: <br />Email Address: <br />method: <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 the report map. <br />14. Is adequate topsoil reserved for reclamation, based on your approved permit? YES NO N/A <br />If "NO ", please explain: <br />15. Is the reserved topsoil vegetated/stabilized in accordance with Rule 3.1.9(1)? YES NO N/A <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 <br />17. Are all hazardous materials stored within approved spill containment structures? NO NIA <br />18. Is your financial warranty value sufficient to cover the cost to complete reclamation? YES NO N/A <br />19. Is your basis for legal right to enter still valid? i� NO <br />20. Does your permit require you to submit monitoring information annually? 09) NO N/A <br />If "Yes ", please attach the required monitoring results to this Annual Report. <br />6<00140 M NrM 1eWF f2f�1(-j 11`'1 5 ,yz-21,r--tA <br />21. As required by Colorado Mined Land Reclamation Act and/or Colorado Land Reclamation Act for the Extraction of <br />Construction Materials (C.R.S. 34 -32 -116 or 34- 32.5 -116), attach a map to this report that accurately depicts the <br />permit boundary, current affected area boundary and location of the acreages specified in items 7- 12 and 14. <br />UPDATED MAP ATTACHED: Alo C I�I�Lc C <br />Division records indicate the following permittee contact information. If this information is not current, please type or <br />print current contact information: <br />Permittee Contact: <br />Martin L. Shafer <br />Permittee Company: <br />-- _ - <br />Continental Materials <br />Corporation dba Transit Mix <br />Concrete <br />Address: <br />444 E. Costilla <br />Colorado Springs, CO 80903 <br />Phone Number: <br />(719) 598 -0215 <br />Fax Number: <br />(719) 598 -3053 <br />Email Address: <br />CF.PR.email <br />I, the undersigned, hereby state that the information provided in this report is true and accurate, and that site operations are <br />bem duct ;d ccgrdapce with Division approved mining and reclamation plans. ZZt -7 <br />of Pe ttee, Corporate Officer, Owner, or Documented Desisnee Date <br />