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• iii iiiiiiiiiiiii iii • <br />999 <br />ANNUAL REPORT <br />PERMITTEE NAME: Hollenbeck, Inc. <br />PERMIT NO.: M1985023 <br />OPERATION NAME: Hollenbeck Pit RECEIVED <br />ANNIVERSARY DATE: May 6, 1999 FEB p g 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />Division of Minerab 8 Geology <br />COUNTY: Gunnison <br />According to C.R.S. 34-32-1 ib(3)(a), each year, on the anniversary date of the permi~, an operator <br />shall submit the annual fee, a report and map showing the extent of current dis[urban~es [o affected <br />land, reclamation accomplished to date and during the preceding year, new disturbanfies that are <br />anticipated to occur during the upcoming year, reclamation that will be performed during the coming <br />year, the dates for the beginning of active operations, and the date active operations deased for the <br />year, if any. <br />Please attach our revised annual re ort ma and written re ort to this annual a ort. P/erase <br />note drat nn ndequnteiy labeled map drat clearly delineates and incindes the above e meats nary <br />suffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone nupnber in the space <br />provided: <br />Contact Name: /~P~nw ,~i,.~i Company: <br />Address: Phone No.: ~'7(Zl. Y (`' Q~ ~ ,S <br />i <br />i ~ Fax No.: ( ) <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide it on a separate sheet and attach it to this report form along with your map and/or written <br />report. <br />~~~ '~.~~.~,,1~.-LAC 2/ ~/ ~ d <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />