2004-10-15_REPORT - M1977345

• Permit No: M1977345
• IBM Index Class Name: Report
• Doc Date: 10/15/2004
• Doc Name: Annual Fee/Report/Map
• From: Holcim ‎(US)‎ Inc.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF MINERALS AND GEOLOGY
Department of Natural Resources
1313 Sherman St., Room 215
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
September I, 2004
Holcim (US) Inc.
Fort Collins Plant
P.O. BOX 1548
La Porte, CO 80535
RECEIVED SEP 7 2004
MTNF.D T,ANT) RFCLAMATTON ROARQ
110c ANNTIAT, FF.F. TNVOTCF, ANT) REPORT T3ESJ11J:ST
COLORADO
DIVISION OF
MlN ORALS
GEOLOGY
0.EC LAMATION•MINING
SAFETY•SCIENCE
Bill Owens
Governor
Russell George
Executive Direcor
Ronald W. Cottony
Division Director
Natural Resource Trustee
Under the terms of your Reclamation Permit and Colorado Statutes, you must submit Annual Fees and Annual
Reports. You must pay the Annual Fee and submit an Annual Report each year until reclamation responsibility
release is granted. The Annual Fee is not a renewal fee. The fee and the report are for LAST VF.ARS mining and
reclamation season, and MTIST be received even if your operation was in an inactive state. The fee and report are
due ON OR RFFORR your permit anniversary date shown below.
If you have requested reclamation responsibility release from the Division of Minerals and Geology (the
"Division") but your permit is not released by your anniversary date listed below, the annual fee MTiST be paid. If
the permit is released before the anniversary date, then by Statute, you do not pay an annual fee or submit an
annual report for that year.
PT.F.ASR NnTF.: IF THE ANNUAL FEE, ANNUAL REPORT, AND A MAP ARE NOT RECEIVED OY QR
RRFORF. YOUR ANNNERSARY DATE, A FORMAT. NOTTCF. OF VTOT.ATTON AND A ROARD ORDER TO
PAY CTVTT PFNAT TTFS IN THE AMOUNT EQUAL TO THE ANNUAL FEE $ 281.00 WILL BE
ATiTOMATTCAT T Y ASSESSED. NO PERMITS FOR NEW MINING OPERATIONS SHALL BE GRANTED
TO ANY OPERATOR WHO IS CURRENTLY FOUND TO BE IN VIOLATION IN THIS STATE (C.R.S. 34-
32.5-120 OR C.R.S. 34-32-120) UNTIL THE VIOLATION IS ABATED.
Division records indicate $ 281.00 fee is due
Permit No.: M-1977-345
Operation Name: Boettcher Sand Stone Quarry
Anniversary Date: October 10, 2004
Total Fee Due: $281.00 (Due on or before your Anniversary Date)
If your records indicate different facts than those stated above please notify the Division.
Please return the enclosed annual report FORM, a MAP, and a CHECK or MONFY ORDER made payable to the
Division of Minerals and Geology, 1313 Sherman St., Room 215, Denver, Colorado 80203.
Thank you for your cooperation in this matter. If you have any questions, please feel free to contact
Tawnya Deherrera at [phone].
Office of Office of Colorado
Mined Land Reclamation Ac[ive and Inactive Mines Geological Survey