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Page 3 tV
<br />13, Is weed control Ining conducted in accordance with an approved'-V,C.ed L' NO NJA
<br />It'"YES", indicate die 120
<br />weed qiecies. evigrol area, coind type,
<br />t
<br />1 the reparl
<br />map.
<br />4,
<br />Is adec i i.a to oil reserved Or reclamation, b-ased on yourajjpcov,,�,d pemji?
<br />Y E', S
<br />NO
<br />If "NO"', please explairf:
<br />J ,5
<br />Is thc reserved topsoil in acc;ordar;ee xidi Rfde 3.1.9(1)?
<br />Y I". S
<br />NO
<br />If", O" plc.�j;.c oxplain.:
<br />16.
<br />If inining has expo,,,ed gi-oundwiter, is the site in compijance Willi the Eq)proved mbling,
<br />pi'm af:1d 0-ri-jec of the
<br />5—ife
<br />0-
<br />En,giiieer (Well Permit, SM,S.P., zuad!fir Permanent Aug ftinn Plan)".'
<br />YES
<br />NO
<br />17.
<br />Are all hazarkiotis rjjajerjals stored within approved Spill
<br />YES
<br />NO
<br />18,
<br />Is your fia"ariedall warranty Valluesufficient to co�,cr the cost to complek, rcelamption?
<br />N-O
<br />NIA
<br />19.
<br />Is your basis for legall right to enter still valid?
<br />F�
<br />NC)
<br />20.
<br />Does yourpmnit reqiuireyou to SL bruit
<br />YES
<br />NO.-)
<br />N
<br />It"'Yes", Please aftach the requirizd monitoring JTSI.IhS. LC, 1hiS.'k11DLUfl Report.
<br />2L As mquirai by C00mdo IMirted is 1 eclarn aflorf Ai;t andior Colorado Land Rechu-natic)n Act for the Extraction of
<br />Construction Mmerials (CRS. 34,3'2-1 1 (i t 34--32.5-116), attach a snap to this report that accurately depict Te
<br />penuit boundary, cuuent Molded arcm otmdary and location o.�*tlieiereei,,�ye.s,�pecifieI in items 7- 12 and 14.
<br />UPDA11--J) MAP tVFTACHED. —��
<br />Di vision. rccordi ;,.. id icatc th4 fojll ow big Penn Me c. ant b trorination,
<br />print current contact infiDrination: . please type of,
<br />Permittec Contact
<br />Pernlittee C."ornpany"
<br />Address.
<br />Phone Muber:
<br />Fax NUIAM:
<br />Eniail Addcss
<br />.limes Re Gd—e i,
<br />City of Rouldu
<br />... 7-15-f-- - - -- -- ----------
<br />Bmuldo:-, CO
<br />- - ----- ....... .......................... .. ......
<br />(303) 413-7641
<br />(30) 4134-17 - - -- ------------
<br />.. . ........ ..................
<br />.
<br />I , ?) -- ? ( v L4 c-,
<br />...................... - ...................
<br />------ --------- .............................. . ............
<br />j co Iona
<br />bo A I I &V 0 . 00
<br />----------------------------- -
<br />1: the undersigflod, hereby siate tha.., the in-fo2rinatiort provided in, [hi, rePOrl is IR11, 81)i.1 OkUtMAtC, alld that Sile, Operation.-., a.re
<br />hwing con ducled in accordance u-ith the Division approved mininj,.� and ri,:Jarfmtimn plans.
<br />.. �41 . . . ............................................... .
<br />Signaili-,--t o`i:4;ernmttq, Corporate Offieq, Pwner, or Documented D
<br />Date
<br />
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