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ii iiiiiiiiiiiu iii <br />ANNUAL REPORT <br />PERMTI'TEE NAME: Holnam, Inc. - Ft Collins Plant <br />PERMIT NO.: M-1977-347 <br />OPERATION NAME: Slab Canyon Quarry <br />ANNNERSARY DATE: October 10, 2000 <br />ANNUAL FEE DUE ON ANNNERSARY DATE: $688.00 <br />COUNTY: Latimer <br />~~izz~~~o ~~~~ <br />(~ of 34s°=~ <br />_: -, ~,~ <br />According to C.R.S. 34-32-116(3)(a), each yeaz, on the anniversary date of the permit, :m 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 yeaz, [he <br />dates for the beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach vour revised annual report maa and written resort to this annual report. Please <br />note that an adegieately lnbeled map that clearly delineates and includes the 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 />Contact Name: Britnev Guaaisbera <br />Fort Collins Plant <br />Company: Holnam. Inc. <br />Phone No.: ( 970 ) 482-4065 ext 297 <br />P.O. Box 1548 <br />LaPorte, CO 80535 <br />FAX No.: ( 970) 482-1363 <br />e-mall: <br />If there are additional comments and/or information that should be provided to the Divi:>ion, 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 />/[ti~.~~:~•-P~'. ~~-~-s-~- i~ fin/~-y <br />nature of Corpo ate Officer, or Owner Date <br />INSTRUCT/ONS ON BACK <br />M:~PERM nlA7ASTERDOC U M ENTSV.1-A F-01 <br />