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<br />_.,, ~~,~ <br />PERMITTEE NAME: Holciro (US) Inc. ~ "' <br />PERMIT NO.: M-1977-347 ©C~ V ~ °dQ~ <br />OPERATION NAME: Slab Canyon Quarry ?~isision of AAinefals an9 Geologq <br />ANNIVERSARY DATE: October 10, 2003 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Larimer <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator <br />- -shall-submit-the-annuaj-fee,-a-report--and-map-showing-the extent-of current disturbances-to-affected land,- <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />PI ae se~~?ttach ynnr revised written anm~al rennrt and anneal rennrt m ~n to this form. Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Gordon Benton, project Manager <br />Permittee Name: <br />Address: <br />Holcim (US) Inc. <br />P.O. Box 1548 <br />La Porte, CO 80535-1548 <br />Phone Number: 970-482-4065 x 229 <br />Fax Number: 970-482-1363 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />.~G7/ //r_ ~1J O <br />SS g afore of Corporate Officer, Owner, or Designee <br />l 0 / z/03 <br />Date <br />M iPERMI'MIASTERDOCUMENTSUI-AF-01 <br />