Laserfiche WebLink
• III IIIIIIIIIIIII III CK <br />ANNUAL REPORT <br />PERMITTEE NAME: Holnam, Inc. - Ft Collins Plant <br />PERMIT NO.: M-1977-346 <br />OPERATION NAME: Boettcher Gypsum Quarry <br />ANNNERSARY DATE: October 10, 2000 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $688.00 <br />COUNTY: Larimer <br />d I . <br />Via' '_a, : ~' <br />CCT ? 6 2^u0 <br />- cn.i Gs <br />According to C.R.S. 34-32-116(3)(a), each yeaz, on the anniversary date of the permit, an operator shall <br />submit the annual 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 <br />to occur during the upcoming year, reclamation that will be performed during the coming year, the <br />dates for the beginning of active operations, and the date active operations ceased for t:he year, if any. <br />Please attach your revised annual report map and written report to this annual report. Please <br />note that an adequately labeled mnp that clearly delineates and includes tl:e above elements may <br />suffice for a written report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />ContactrName:. Britney G~ggisberg <br />Address: Fnrt ('nllin~ Plant <br />P. O. Box 1598 <br />LaPorte. CO 80535 <br />Company: Holnam. Inc <br />Phone No.:( 97n ) aR~-4n6s Pxt_ 297 <br />FAX No.: ( 970) 482-1363 <br />e-mail: <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide i[ on a separate sheet and attach it to this report fotm along with your map and~or written <br />report. <br />`-'Signature of Cor~orate Officer, or Owner Date^~ <br />INSTRUCTIONS ON BACK <br />M:~PER M nU7 ASTERDOCUM ENTSUI-AF~01 <br />