|
Pa,e 3 of 3
<br />13 Is Steed colltl of bells, colltIllcted in ac(oi dance with all apps op-ed Weed t'olltrol Plan' @S ) NO NA
<br />If "YES", indicate the weed specie;, control area- Contiol t"Pe. application late acid tleatnlent crate oil the report nlap
<br />✓L j(3et Ccn ivC I� �umrn -Er- 2-0 (Z
<br />14 Is, adequate tops-oil reserved iol reclamation. based oil soul approved pelllllt' I "ES NO N
<br />If "NU°', please explain
<br />1 �; Is the reserved topsoll ve,etated :stabilized 111 ac( ordallce with Rule 3 1 X11, l 1' ) NO NA
<br />If "NU" please explain
<br />16 If has exposed !zr ouildwatel ,1s the .site 111 Compliance witll the apps owed mining plan and Office of the State
<br />Engineer iAN -ell Permit, S W S I' . and of Permanent Au anlentatlon Plane' YES NO
<br />C Are all hazardou,4 inat et cols stored withill approved "'Pill contalllinent "fill (till es" iES N(:) N A
<br />1ti Is Four f111ancial 1Ca11811ty value slifficlent to Covet the l o;,t to complete l eclamatlon" YES N
<br />P,,aa,V,o^o.1 1•0 QC dts4 �rbe�r�cA ;new lc�sk C��Ic�lc��io.�� addr.SS��
<br />19 I, your basl,, for le,al riLdlt to enter ;till randF 5 NO
<br />20 Igoe :: roof pelmtt require you to submit lnonitorlll, lnfolnlatlon almually' CES_ NO N A
<br />If "Yes". please attach the lequned monitolln�, result,, to this Annual Repolt
<br />'1 _�� re(juned by l.'ololado Mined Land Reclamation Act and or Colorado Land Reclamation _ (t for the Eztracholl of
<br />l_'oilstlllctloll Matet 1 {._' R S 34-3' -116 of 34 -321 ;-1 lu "l, attach a illap to till,',' lepolt that accul ately depict: the
<br />pelnllt boundary, cull rat affected area bolllldary and location of the aerea,c.4 q)ecified 111 Itetll.,� _- 12 and 14
<br />T_TPU TED I\I _AP ATTACHED X_
<br />I:llvl ::loll recol ds 111dicatr the followill`, perinittee contact information If tills llifolltlatloil 1's not current, please t,\ )e or
<br />print Current Contact 111follllatioll
<br />Peimlttee Contact Thomav S Hendricks
<br />Pernllttee Conlpally C alal,� Re,�ource:4 C olorado, Inc
<br />t41 c Y_ Nt c I
<br />Utn i0Yn "I' 1( (% 0.6 moan y ;`Lc-
<br />�
<br />AddlC•`
<br />I' i_) Box
<br />Nederland, rA -) '0466' c �3 x (n Z �^ 4 4 v
<br />it- 4Om, (20 u1 0gCf0
<br />Phone Number 1 31)3 2 38 -38 () ;
<br />1 _ G) `14 -7
<br />Fax Number
<br />Email Aciclre : ;� CF PR enlall - � -__� �- - - - - -- -
<br />n 01 1 c kLQ z I LL I o rVI
<br />I, the uridersliled, licrcby :state that the lnfoinlatioll provided 111 tlll.� lepol't is tllle alld acculate, and that site operatloll,z� ale
<br />bell ztuc"% x w th the I)ivImoll approved Illnlln, and rrcla111atiorl plan,,
<br />Si6naftwe of Perinittee, Corpol -ate Officer, Owner. c►r _ ocumented Designee Uate
<br />
|