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2013 -05 -14 08:21 DRMS 3038328106 >> 308 254 3455 P 3/3 <br />I'agc 3 of 3 <br />13, Is weed control being conducted in accordance with an approved Weed Control flan? YES NO N/A <br />1f "YES ", indicate the weed species, control area, control type, application rate and treatment date orz the report mar. <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,I'., and /or Permanent Augmentation flan)? YES NO N/A <br />17. Ate all hazardous materials stored within approved spill containment structures? YES NO N/A <br />18. Is your financial warranty value sufficient to cover the cost to complete reclamation? YF,S NO N/A <br />19. Is your basis for legal right to enter still valid? ES NO <br />20. Does your permit require you to submit monitoring information annually? YES & 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. UPD,&FED MAP ATTACHED: . X <br />Division records indicate the following pcmiittee contact information. If this information is not current, please type or <br />print current contact information: <br />Pen- nittee Contact: I Keith Niunhue er <br />1'ertniile: Company: I Nicnhueser Construction <br />_ Excavating Co <br />Address: 1243 Rll 113 <br />P.O. Box 173 <br />Sidney, NE 69162 <br />Phone Number_ 1 (308) 254 -3453 <br />Fax Number: (303) 254 -3455 <br />Email Address: C;F.PR.cmail <br />1, 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 />Signature of Pcrnittee, Corporate Officer, owner, or Documented Desienee Date <br />